CA2783572A1 - Useful combinations of monobactam antibiotics with beta-lactamase inhibitors - Google Patents

Useful combinations of monobactam antibiotics with beta-lactamase inhibitors Download PDF

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CA2783572A1
CA2783572A1 CA2783572A CA2783572A CA2783572A1 CA 2783572 A1 CA2783572 A1 CA 2783572A1 CA 2783572 A CA2783572 A CA 2783572A CA 2783572 A CA2783572 A CA 2783572A CA 2783572 A1 CA2783572 A1 CA 2783572A1
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compound
formula
amino
hydrogen
alkyl
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CA2783572C (en
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Eric Desarbre
Berangere Gaucher
Malcolm G.P. Page
Patrick Roussel
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Basilea Pharmaceutica AG
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Basilea Pharmaceutica AG
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    • C07D417/00—Heterocyclic compounds containing two or more hetero rings, at least one ring having nitrogen and sulfur atoms as the only ring hetero atoms, not provided for by group C07D415/00
    • C07D417/14—Heterocyclic compounds containing two or more hetero rings, at least one ring having nitrogen and sulfur atoms as the only ring hetero atoms, not provided for by group C07D415/00 containing three or more hetero rings
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    • A61K31/395—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins
    • A61K31/40—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having five-membered rings with one nitrogen as the only ring hetero atom, e.g. sulpiride, succinimide, tolmetin, buflomedil
    • A61K31/407—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having five-membered rings with one nitrogen as the only ring hetero atom, e.g. sulpiride, succinimide, tolmetin, buflomedil condensed with other heterocyclic ring systems, e.g. ketorolac, physostigmine
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    • A61K31/41—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having five-membered rings with two or more ring hetero atoms, at least one of which being nitrogen, e.g. tetrazole
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    • A61K31/425—Thiazoles
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    • A61K31/41—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having five-membered rings with two or more ring hetero atoms, at least one of which being nitrogen, e.g. tetrazole
    • A61K31/425—Thiazoles
    • A61K31/429—Thiazoles condensed with heterocyclic ring systems
    • A61K31/43—Compounds containing 4-thia-1-azabicyclo [3.2.0] heptane ring systems, i.e. compounds containing a ring system of the formula, e.g. penicillins, penems
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    • A61K31/41—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having five-membered rings with two or more ring hetero atoms, at least one of which being nitrogen, e.g. tetrazole
    • A61K31/433—Thidiazoles
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    • A61K31/4353—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having six-membered rings with one nitrogen as the only ring hetero atom ortho- or peri-condensed with heterocyclic ring systems
    • A61K31/4375—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having six-membered rings with one nitrogen as the only ring hetero atom ortho- or peri-condensed with heterocyclic ring systems the heterocyclic ring system containing a six-membered ring having nitrogen as a ring heteroatom, e.g. quinolizines, naphthyridines, berberine, vincamine
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    • A61K31/44—Non condensed pyridines; Hydrogenated derivatives thereof
    • A61K31/4427—Non condensed pyridines; Hydrogenated derivatives thereof containing further heterocyclic ring systems
    • A61K31/4436—Non condensed pyridines; Hydrogenated derivatives thereof containing further heterocyclic ring systems containing a heterocyclic ring having sulfur as a ring hetero atom
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    • A61K31/44—Non condensed pyridines; Hydrogenated derivatives thereof
    • A61K31/4427—Non condensed pyridines; Hydrogenated derivatives thereof containing further heterocyclic ring systems
    • A61K31/444—Non condensed pyridines; Hydrogenated derivatives thereof containing further heterocyclic ring systems containing a six-membered ring with nitrogen as a ring heteroatom, e.g. amrinone
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    • A61K31/435—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having six-membered rings with one nitrogen as the only ring hetero atom
    • A61K31/47—Quinolines; Isoquinolines
    • A61K31/472—Non-condensed isoquinolines, e.g. papaverine
    • A61K31/4725—Non-condensed isoquinolines, e.g. papaverine containing further heterocyclic rings
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    • A61K31/495—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having six-membered rings with two or more nitrogen atoms as the only ring heteroatoms, e.g. piperazine or tetrazines
    • A61K31/496—Non-condensed piperazines containing further heterocyclic rings, e.g. rifampin, thiothixene or sparfloxacin
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    • A61K31/495—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having six-membered rings with two or more nitrogen atoms as the only ring heteroatoms, e.g. piperazine or tetrazines
    • A61K31/505—Pyrimidines; Hydrogenated pyrimidines, e.g. trimethoprim
    • A61K31/506—Pyrimidines; Hydrogenated pyrimidines, e.g. trimethoprim not condensed and containing further heterocyclic rings
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    • A61K31/54—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having six-membered rings with at least one nitrogen and one sulfur as the ring hetero atoms, e.g. sulthiame
    • A61K31/542—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having six-membered rings with at least one nitrogen and one sulfur as the ring hetero atoms, e.g. sulthiame ortho- or peri-condensed with heterocyclic ring systems
    • A61K31/545—Compounds containing 5-thia-1-azabicyclo [4.2.0] octane ring systems, i.e. compounds containing a ring system of the formula:, e.g. cephalosporins, cefaclor, or cephalexine
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    • A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
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Abstract

A pharmaceutical composition, comprising a combination of an antibiotically active compound of the formula (I):

(see formula I) with a .beta.-lactamase inhibitor of one of the formulae (II) to (XIII) are active against Gram-negative bacteria, in particular such bacteria which have become resistant against antibiotics such as aztreonam, carumonam and tigemonam. Optionally the compositions may comprise another .beta.-lactamase inhibitor of one of the formulae (II) to (XIII), particularly of formula (V) or formula (VI).

Description

Useful Combinations of Monobactam Antibiotics with beta-Lac-tamase Inhibitors Field of the invention The present invention is concerned with pharmaceutical compositions and methods for treating infections caused by pathogenic Gram-negative bacteria.

Background of the invention (3-Lactam antibiotics have been widely used for the treat-ment of bacterial infections both in hospitals and in the gen-eral public. There are several classes of (3-lactam antibiotics that have found clinical application, these include the peni-cillins, cephalosporins, cephamycins, carbacephems, oxace-phems, carbapenems and monobactams.

The efficiency of all of these classes to cure bacterial infections has been impaired by the appearance of bacteria that are resistant towards the antibiotics. The prevalent cause of this resistance in Gram-negative bacteria is the ex-pression by the bacteria of enzymes known as (3-lactamases that are able to hydrolyse the (3-lactam antibiotics rendering them inactive. Bacteria are able to produce a variety of (3-lactamases, including penicillinases, cephalosporinases, cephamycinases, carbapenemases, monobactamases, broad-spectrum (3-lactamases and extended-spectrum (3-lactamases.

The possibility of rescuing individual (3-lactam antibi-otics by combination with a (3-lactamase inhibitor that inac-
2 tivates the (3-lactamase before it can hydrolyse the (3-lactam antibiotic has been demonstrated with clinically useful com-binations between penicillins such as amoxicillin, ampicillin and,ticarcillin and (3-lactamase inhibitors such as clavulanic acid, sulbactam and tazobactam. Further, potential combina-tions have been described involving cephalosporins and newly developed (3-lactamase inhibitors including bridged monobac-tams, penam sulfones, phosphonate esters, exomethylene penams and diazabicyclooctane derivatives.
Monobactams have been regarded as stable towards many 13-lactamases. However, there are now many strains of Gram-nega-tive bacteria that exhibit (3-lactamase-mediated resistance to-wards the monobactam antibiotics (aztreonam, carumonam and ti-gemonam).

The present invention aims to provide improved medica-ments with novel monobactam antibiotics and combinations of monobactam antibiotics with (3-lactamase inhibitors that are active against aerobic Gram-negative bacteria that are resis-tant against treatments with monobactam antibiotics.

Summary of the invention The objective set is solved by a pharmaceutical compo-sition, comprising a combination of a) an antibiotically active compound of the following formula z:
3 N-O

~ N I

in which R1 signifies S03H, OSO3H, CRaRa'COOH, OCRaRa'COOH, 5-tetra-zolyl, SO2NHRb or CONHRc, wherein Ra and Ra' are independently selected from hydrogen;
alkyl; allyl; benzyl which may be substituted with 1 to 5 substituents selected from alkyl,, hydroxyl, alkoxy, amino, alkylamino, dialkylamino and halogen; phenyl which may be substituted with 1 to 5 substituents selected from alkyl, hydroxyl, alkoxy, amino, alkylamino, dialkylamino and halo-gen; alkylamino; dialkylamino; alkoxyalkyl and a 5-6 mem-bered heteroaromatic ring which may be substituted with 1 to
4 substituents selected from alkyl, hydroxyl, alkoxy, amino, alkylamino, dialkylamino and halogen;
wherein Rb is hydrogen; alkyl; alkoxycarbonyl; alkylamino-carbonyl; benzylaminocarbonyl in which the benzyl may be substituted with 1 to 5 substituents selected from alkyl, hydroxyl, alkoxy, amino, alkylamino, dialkylamino and halo-gen; or phenylaminocarbonyl in which the phenyl may be sub-stituted with 1 to 5 substituents selected from alkyl, hy-droxyl, alkoxy, amino, alkylamino,dialkylamino and halogen;
wherein Rc is hydrogen; alkyl; phenyl which may be substi-tuted with 1 to 5 substituents selected from alkyl, hy-droxyl, alkoxy, amino, alkylamino, dialkylamino and halogen;

benzyl which may be substituted with 1 to 5 substituents se-lected from alkyl, hydroxyl, alkoxy, amino, alkylamino, dialkylamino and halogen; alkoxycarbonyl; S02phenyl;
S02NHalkyl; or a 5-6 membered heteroaromatic ring which may be substituted with 1 to 4 substituents selected from alkyl, hydroxyl, alkoxy, amino, alkylamino, dialkylamino and halo-gen;
R2 and R3 independently signify hydrogen; alkyl; alkenyl; al-kynyl; benzyl which may be substituted with 1 to 5 substitu-ents selected from alkyl, hydroxyl, alkoxy, amino, alkylamino, dialkylamino and halogen; phenyl which may be substituted with 1 to 5 substituents selected from alkyl, hydroxyl, alkoxy, amino, alkylamino, dialkylamino and halogen; azido; halogen;
dihalogenomethyl; trihalogenomethyl; alkoxycarbonyl; carboxyl;
sulfonyl or CH2X1, wherein X1 is azido; amino; halogen; hydroxyl; cyano; car-boxyl; aminosulfonyl; alkoxycarbonyl; alkanoylamino; phenyl-aminocarbonyl; alkylaminocarbonyl; aminocarbonyl; carbamoy-loxy; alkylaminosulfonyl; phenylaminosulfonyl in which the phenyl may be substituted with 1 to 5 substituents selected from alkyl, hydroxyl, alkoxy, amino, alkylamino, dial-kylamino and halogen; phenyl which may be substituted with 1 to 5 substituents selected from alkyl, hydroxyl, alkoxy, amino, alkylamino, dialkylamino and halogen; or benzyl which may be substituted with 1 to 5 substituents selected from alkyl, hydroxyl, alkoxy, amino, alkylamino, dialkylamino and halogen;
R4 signifies hydrogen; alkyl; C(Rx)(Ry)Z, wherein Rx and Ry are independently selected from hydrogen;
alkyl; allyl; (C3-C6)cycloalkyl; phenyl which may be substi-tuted with 1 to 5 substituents selected from alkyl, hy-droxyl, alkoxy, amino, alkylamino, dialkylamino and halo-gen; (C2-C7) alkene and (C2-C7) alkyne; or Rx and Ry taken to-gether may form an alkylene bridge -(CH2)n- with n being an integer number from 2 to 6; and Z is COOH; CH2N(OH)COR' wherein
5 R' is hydrogen, alkyl, alkylamino, alkoxy, benzyl which may be substituted with 1 to 5 substituents selected from alkyl, hydroxyl, alkoxy, amino, alkylamino, dialkylamino and halogen, phenyl which may be substituted with 1 to 5 substituents selected from from alkyl, hydroxyl, alkoxy, amino, alkylamino, dialkylamino and halogen, or a 5-6 membered heteroaromatic ring which may be substituted with 1 to 4 substituents selected from alkyl, hydroxyl, alkoxy, amino, alkylamino, dialkylamino and halogen;
or Z is one of the following six groups O O
Re Re AN Rf N Rf Rd Rd H
N,N,N RI ON Ri SAN
N
OH OH
OH

in which groups Rd, Re and Rf are independently selected from hydrogen;
alkyl; amino; monoalkylamino; carboxylaminoalkyl; alkoxy-carbonyl; benzyl which may be substituted with 1 to 5 substituents selected from alkyl, hydroxyl, alkoxy, amino, alkylamino, dialkylamino and halogen; diphenyl-methyl; trityl; and ORg wherein
6 Rg is hydrogen; alkyl; benzyl which may be substituted with 1 to 5 substituents selected from alkyl, hy-droxyl, alkoxy, amino, alkylamino and halogen; or phenyl which may be substituted, with 1 to 5 substitu-ents selected from alkyl, hydroxyl, alkoxy, amino, al-kylamino and halogen;
or, when Re and Rf are vicinal substituents, Re and Rf taken together may also be -O-CH=CH-CH2-, -0-CH2-CH2-O-, -CH2-CH2-CH2-, -CH2-CH2-CH2-CH2-, -CH=CH-CH=CH- or -CH=C(OH)-C(OH)=CH-;
Ri is hydrogen; alkyl; alkylamino; alkoxy; benzyl which may be substituted with 1 to 5 substituents selected from alkyl, hydroxyl, alkoxy, amino, alkylamino, dialkylamino and halogen; phenyl which may be substituted with 1 to 5 substituents selected from alkyl and hydroxyl; or a 5-6 membered heteroaromatic ring which may be substituted with 1 to 5 substituents selected from alkyl, hydroxyl, alkoxy, amino, alkylamino, dialkylamino and halogen;
R5 signifies hydrogen, alkyl, halogenomethyl, dihaloge-nomethyl, trihalogenomethyl, alkoxy, formylamino or alkylcar-bonylamino;
R6 signifies phenyl which may be substituted with 1 to 5 sub-stituents selected from alkyl, hydroxyl, alkoxy, amino, al-kylamino, dialkylamino and halogen; or a 5-6 membered het-eroaromatic ring which may be substituted with 1 to 4 sub-stituents selected from alkyl, hydroxyl, alkoxy, amino, al-kylamino, carbonylamino and halogen;
or a pharmaceutically acceptable salt thereof;

and one or more (3-lactamase inhibitors selected from the fol-lowing groups b1) to b11):
7 b1) a bridged monobactam derivative of the following formula II:

R8-.N
H.., H
N II

in which:
R7 signifies S03H, OSO3H or OCRjRj'COOH, wherein Rj and Rj' are independently selected from hydro-gen; alkyl; phenyl which may be substituted with 1 to 5 substituents selected from alkyl, hydroxyl, alkoxy, amino, alkylamino, dialkylamino and halogen; benzyl which may be substituted with 1 to 5 substituents selected from alkyl, hydroxyl, alkoxy, amino, alkylamino, dialkylamino and halo-gen; alkylamino and alkoxyalkyl;
R8 is alkoxycarbonylamino, the acyl residue of an a or (3-amino acid, or a residue of the formula Q-(X),-Y-, wherein Q is a 3-6 membered ring which optionally contains nitrogen, sulphur and/or oxygen and which is optionally fused to a phenyl ring or to a 5-6 membered heterocyclic ring and which is optionally substituted with 1 to 4 sub-stituents selected from alkyl, allyl, hydroxyl, alkoxy, amino, alkylamino, dialkylamino, carboxamide which may be substituted, carboxylic acid, carbonylalkoxy, aminocar-bonyl, alkylaminocarbonyl, halogen, halogenomethyl, diha-logenomethyl, trihalogenomethyl, sulfamide, substituted sulfamide with substituents selected from alkyl, allyl,
8 PCT/CH2006/000685 phenyl which may be substituted with 1 to 5 substituents selected from alkyl, hydroxyl, alkoxy, amino, alkylamino and halogen and benzyl which may be substituted with 1 to 5 substituents selected from alkyl, hydroxyl, alkoxy, amino, alkylamino, halogen and benzyl, urea which may be substi-tuted with alkyl, aminoalkyl or alkoxy and carbamate which may be substituted with alkyl, aminoalkyl or alkoxy, X signifies a linear spacer of from 1 to 6 atoms length and containing carbon, nitrogen, oxygen and/or sulphur atoms, of which up to 2 atoms can be nitrogen atoms and 1 atom can be oxygen or sulphur, r is an integer of from 0 to 1; and Y is selected from -CO-, -CS-, -NHCO-, -NHCONH- and -SO2-;
or a pharmaceutically acceptable salt thereof, or b2) a monobactam derivative of the general formula III:

~N
H

O ~N III

in which R4' signifies hydrogen, alkyl or CH(Rx')Z', wherein Rx' is selected from hydrogen; (C1-C6)alkyl; allyl; phenyl and (C3-C6)cycloalkyl; and Z' signifies COOH or a group of one of the following two formulae:
O O
OH HO
N
Rd' Rd
9 in which Rd' is hydrogen or hydroxy; and R6 is as defined for formula I; or a pharmaceutically accept-able salt thereof, or b3) a penam sulfone derivative of the general formulae IV or V:

O, .O R10 C~ :O

S )IRI1 r N
O O
HO o IV Ho o V

in which R9 signifies COOH or a 5-6 membered monocyclic or poly-cyclic heteroaromatic group;
R10 signifies hydrogen or halogen;
R11 signifies CH2R12; CH=CHR12 wherein R12 is hydrogen, halogen, cyano, carboxylic acid, acyl such as acetyl, car-boxamide which may be substituted, alkoxycarbonyl or a 5-6 membered heteroaromatic ring which is optionally substi-tuted with 1 to 5 substituents selected from alkyl, hy-droxyl, alkoxy, amino, alkylamino, dialkylamino and halo-gen; or which is optionally fused with a 5-6 membered het-eroaromatic ring; CH=NR12' wherein R12' is amino, al-kylamino, dialkylamino, aminocarbonyl, acylamino such as acetylamino, hydroxy, alkoxy, or a pharmaceutically acceptable salt thereof;
or b4) an oxapenam derivative of the general formula VI:

O N
HO O VI

in which R13 signifies OR14; S(O)aR14 or a 5-6 membered heteroaro-matic ring which may be substituted with 1 to 5 substitu-
10 ents selected from alkyl, hydroxyl, alkoxy, amino, al-kylamino, dialkylamino and halogen; whereby n = 0, 1 or 2, and R14 is hydrogen, alkyl, (C2-C7)alkene, (C2-C7)alkyne or a 5-6 membered heteroaromatic ring which may be substituted.
with 1 to 5 substituents selected from alkyl, hydroxyl, alkoxy, amino, alkylamino, dialkylamino and halogen, or a pharmaceutically acceptable salt thereof;
or b5) a penem derivative of the general formula VII:

S
N VII
O
HO O
in which R15 signifies a 5-6 membered heteroaromatic ring which may be substituted with 1 to 5 substituents selected from al-kyl, hydroxyl, alkoxy, amino, alkylamino, dialkylamino and
11 halogen; or which is optionally fused with a 5-6 membered heteroaromatic ring and/or which is optionally bound to the exo-methylene group over a -CH=CH- spacer being preferably in the (E)-configuration, or a pharmaceutically acceptable salt thereof;
or b6) a cephem sulfone derivative of the general formula VIII:
R\ OSO

in which R16 signifies COOR17, whereby R17 signifies hydrogen or al-kyl; or a 5-6 membered heteroaromatic ring which is op-tionally fused with a 5-6 membered heteroaromatic ring be-ing optionally substituted with 1 to 5 substituents se-lected from alkyl, hydroxyl, alkoxy, amino, alkylamino, dialkylamino, halogen; and/or being optionally bound to the exo-methylene group over a -CH=CH- spacer being preferably in the (E)-configuration, or a pharmaceutically acceptable salt thereof;
or b7) a carbapenem derivative of the general formula IX:
12 OF H

O

in which R18 signifies -S-alkyl, -S-(CH2)2-NH-CH=NH or a group of the following two formulae 0 NRkRI NRkRI
NH NH
-S -S

wherein Rk and R1 are individually selected from hydrogen, al-kyl, 2-, 3-, 4-carboxyphenyl and sulfamoyl, or a pharmaceu-tically acceptable salt thereof;

or b8) a boronate derivative of the general formula X:
OH

0. ,0 X
wherein R19 signifies a 5-6 membered heteroaromatic ring which may be substituted with amino, alkylamino, dialkylamino or al-kylsulf oxide, or a pharmaceutically acceptable salt thereof;
13 or b9) a boronate derivative of the general formula XI:
H
R20'NY R21 HO "I g\ OH XI
wherein R20 and 21 are independently selected from a 5-6 membered heteroaromatic ring or phenyl which may be substituted with 1 to 5 substituents selected from alkyl, hydroxyl, alkoxy, amino, alkylamino, dialkylamino and halogen and benzyl which may be substituted with 1 to 5 substituents selected from alkyl, hydroxyl, alkoxy, amino, alkylamino, dial-kylamino and halogen, or a pharmaceutically acceptable salt thereof;
or b10) a phosphonate derivative of the general formula XII:
S"
N"~Pi~ NO

O OH XII

wherein R22 is selected from a 5-6 membered heteroaromatic ring which may be substituted with 1 to 5 substituents selected from alkyl, hydroxyl, alkoxy, amino, alkylamino, dial-kylamino and halogen and which is optionally fused with a
14 5-6 membered heteroaromatic ring; phenyl which may be sub-stituted with 1 to 5 substituents selected from alkyl, hy-droxyl, alkoxy, amino, alkylamino, dialkylamino and halo-gen; and benzyl which may be substituted with 1 to 5 sub-stituents selected from alkyl, hydroxyl, alkoxy, amino, al-kylamino, dialkylamino and halogen, or a pharmaceutically acceptable salt thereof;
or b1l) a diazabicyclooctane derivative of the general formula XIII:

N XIII

in which R23 signifies hydrogen, carboxylic acid, alkoxycarbonyl or carboxamide which may be substituted, and R24 signifies SO3H, OSO3H or OCRjRj'COOH, wherein Rj and Rj' are as defined for formula II, or a pharmaceutically acceptable salt thereof.

As a preferred embodiment of the invention, the pharma-ceutical compositions may comprise two or more compounds se-lected from one of the formulae II to XIII of b1) to b1l), these two or more compounds being different from each other.

The object set is also solved by the novel monobactam an-tibiotics of formula la as described hereinafter, which may be used in the same combinations as outlined above.

.5 Further objects of the invention are visible from the de-scription hereinafter and from the appended claims.

Detailed description of the invention 10 It has surprisingly been found that the efficacy of monobactam antibiotics of the formula I against aerobic Gram-negative bacteria can be potentiated by co-using a (3-lactamase inhibitor according to any one of the formulae II to XITI.
15 In formula I, when the oxoazetidine ring is lying in the plane of the paper, preferably R3 points downwards from the plane, and R2 points upwards from the plane.

For the purposes of the present invention, the compounds of the above formula III are not considered as "antibiotically active" compounds in the sense of claim 1. The compounds in formula I have the oximino group predominantly the "syn" con-figuration shown in formula I, whereas the compounds III have the oximino group specifically in the "anti" configuration shown in formula III.

The term "alkyl", as used in the present application, preferably means straight-chain or branched (C1-C7)alkyl such as in particular methyl, ethyl, propyl, butyl, pentyl, hexyl, heptyl, octyl, isopropyl, isobutyl, tert-butyl or neopentyl.
16 The term "alkoxy", as used in the present application, preferably means straight-chain or branched (C1-C7)alkoxy, such as in particular methoxy, ethoxy, propoxy, 1- or 2-butoxy, 1-, 2-, or 3-pentyloxy, 1-, 2- or 3-hexyloxy, 1-, 2-, 3-, or 4-heptyloxy or tert-butoxy. The term "alkylhydroxyl" as also used, shall be considered synonymous to "alkoxy"; in particu-lar for the alkyl in "alkylhydroxyl" the same definition shall apply as given above for "alkyl".

The term "carboxamide which may be substituted" pref-erably has the meaning that the carboxamide has 0 to 2 hydro-gen atoms attached to the amino moiety, with the remainder of the substituents on the amino moiety being alkyl or phenyl which may be substituted.
The term "imine which may be substituted" preferably means that the imine bears at the imine nitrogen hydrogen, al-kyl, phenyl which may be substituted or benzyl which may be substituted.
The terms "optionally substituted phenyl" and "option-ally substituted benzyl", if given without specifically indi-cated substituents, shall preferably mean that the phenyl or benzyl is optionally substituted with 1 to 5 substituents se-lected from alkyl, alkoxy, dialkylamino and halogen, wherein the "alkyl" itself and the alkyl in dialkylamino and alkoxy has the meaning as defined above.

The term "linear spacer", as used in the present ap-plication, preferably means a linear divalent group selected from -0-, -S-, -NH-, -NH-NH -, -CH2-, -CO-, -CH2O-, -CH2CH2-, -CH=CH-, -CH2NH-, -S-CH2-, -S02-, -CH2-, -O-CH2-, -S-CH2CH2-, -
17 CH2CH2-NH-, -CH2-NH-CO-CH2CH2-, -CH2-NH-CO-O-CH2CH2, -CH2-NH-CO-NH-CH2CH2, -CH2-0-CO-NH-CH2CH2-, -CH (OH) -, -CH (COON) -, -CH (OSO3H) -, -CH (OCONH2) - and -CH [CH (CH3) 21 - .

Some compounds of formula I may, when they contain an acidic group (such as when R1 is S03H, OSO3H, CRaRa'COOH, OCRaRa'COOH or SO2NHRb) be present as a salt with a pharma-ceutically acceptable inorganic base (e.g. NaOH, KOH, NH3, K2C03, Na2CO3, Na2HP04 or K2HP04) or organic base (e.g. NEt3, HNiPr2, triethanolamine, TRIS or basic amino acids such as ar-ginine and lysine). The use of such salts of compounds of for-mula I is encompassed by the invention. Also, some of the com-pounds of formula I, when they contain both an acidic group (such as when R1 is S03H, OSO3H, CRaRa'COOH, OCRaRa'COOH or SO2NHRb) and a basic group (such as when R6 is 2-amino-1,3-thiazol-4-yl, 5-amino-1,2,4-thiadiazol-3-yl,= 5-amino-1,2,4-oxadiazol-3-yl, 3-aminoisoxazol-5-yl, 5-amino-1 -methylpyrazol-3-yl, 5-aminopyrazol-3-yl, 6-amino-2-pyridyl, 4-aminopyrimidin-2-yl, 2-carbonylamino-1,3-thiazol-4-yl or 2-amino-5-chloro-1,3-thiazol-4-yl) may form an inner, zwitteri-onic salt; such inner salts are also intended to be encom-passed by the claims.

When R4 contains a 4-pyridone moiety, wherein Rd is se-lected from hydrogen and hydroxy, there is the possibility of tautomerism:

O OH
OH OH

PN
H
18 The invention intends to encompass the use of any such tautomers.

A first group of preferred examples of compounds of the formula I for the combinations of the invention are aztreonam, carumonam, tigemonam, and compounds according to the following table 1 (R5 is in these compounds always H):

table 1 Compound R1 R2 R3 R4 R6 number 1 S03H H CH3 O H N N~~

P'~, 2 N
OH
3 SO3H H CH3 0 OH H2N-N( S
CI
N
OH
4 S03H H CH3 CH3 H2N---~ N\
S
5 S03H H CH3 0 OH H2N--,~ NSD/
N

OH 2 S-' PN
19 O 2 8~
P,~, 8 N
OH

N
OH
S03H H. CH3 CH2CH2N (OH) COCH3 H2NN\ /
S

OH
S
N

N
OH
13N, H CH3 0 HZN NY
N-N OH SJ
H
N
OH

OH SJ
POH~
S03H H CH3 0 H2N~N~__ OH N-N
P.~l 16 S03H H CH3 0 HZN-,iN~'' OH O-N
N
OH
17 S03H H CH3 0 H2N `
OH

N
OH

OH N-N

PH~, H3 C 19 S03H H CH3 0 H2N /
OH
H-N
N
OH
20 S03H H CH3 0 H 2 N NNZ
OH

P.~,
21 SO3H H CH3 O H2N N( OH I iN
OH
22 OCH2COOH H CH3 0 H N N
OH 2 S~
23 OCH (CH3) COON H CH3 0 H N N
OH 2 S-~' N
24 OSO3H CH2F H 0 OH H2N--,~N~
S

P,~l
25 OSO3H CH2OCONH2 H 0 OH Hz N-iNN

P.~, S 26 OSO3H CH3 CH3 O N
OH H2N S~
POH
27 S03H H CH3 N, H N N
~(LJNJ 2 SD
OH
28 S03H H CH3 0 ,0 OH H
II H
N S
OH

OH S //
CI
POH

OH \S-N
OH

OH S //
CI
N
OH
32 OSO3H CH3 CH3 0 H2N~iN
OH `S-N

OH

OH S
N
OH
H

OH S //
CI
P~, 3 OH S-N
OH
36 OCH2COOH H CH3 0 H2N Ny JllyOH S //
Cl P'~, 3 7 OCH2COOH H CH3 0 H2N--.~N~
OH S-N
N
OH
H

OH
CI
N
OH
H

OH S~
P.~, 4 0 S03H CH3 CH3 0 H2N~N
OH S-N
P,~

P.~, 4 OH S //
CI
P~., OH `S-N
P.~' 4 OH S~
P"~' 4 CI
P.~' 4 6 OCH2COOH CH2F H O H2N-_.,~Nv OH S-N
N
OH

CI
N
OH

OH S-N

N
OH
The numbering of the compounds as given in above table 1 is used in the following for the sake of conciseness.

The compounds of the above table 1 are, when their com-pound numbers are underscored and bold, part of the present invention.

Among the compounds of formula I which are more preferred in the combinations of the invention and which are novel per se are those of the following formula Ia:

r N-O
R6-- '_N R6 R3 O
~tN
O
O-Rz Ia wherein Rz is S03H or CRaRa'COOH, wherein Ra and Ra' are as defined for formula I;
R2, R3, R5 and R6 are as defined for formula I;
R4 is CH2Z; whereby Z is a group of one of the formulae O O
R
xtx:: e N Rf Rd Rd wherein Rd, Re and Rf are as defined for the compounds of for-mula I; and the pharmaceutically acceptable salts or inner salts thereof. This first group of compounds forms part of the invention. When Rz is S03H, then preferably both R2 and R3 are methyl. When Rz is CRaRa'COOH, then R2 is preferably selected from hydrogen, methyl, fluoromethyl and carbamoyloxymethyl;
and R3 is preferably selected from or hydrogen and methyl; and more preferably here, the absolute configuration at the carbon atom bearing R2 and R3 is (S). Preferably, Ra and Ra' are each hydrogen. Preferably for all compounds of formula Ia, the Rd, Re and Rf are individually selected from hydrogen and hydroxy, with the proviso that at least two of Rd, Re and Rf are hy-droxy (most preferably Rd and Re are hydroxy and Rf is hydro-gen). R5 is prefably hydrogen. R6 is preferably an optionally amino-substituted and optionally chloro-substituted 5-6-membered heteroaromatic ring, this ring being more preferably selected from 2-amino-l,3-thiazol-4-yl, 5-amino-1,2,4-5 thiadiazol-3-yl, 5-amino-1,2,4-oxadiazol-3-yl, 3-ami-noisoxazol-5-yl, 5-amino-l-methylpyrazol-3-yl, 5-aminopyrazol-3-yl, 6-amino-2-pyridyl, 4-aminopyrimidin-2-yl, 2-carbon-ylamino-1,3-thiazol-4-yl, 2-amino-5-chloro-1,3-thiazol-4-yl and 2-thienyl.

10 More preferred examples of the compound of formula Ia are the compounds (12), (22), (23), (24), (25), (26), (29), (30), (31), (32), (33), (34), (35), (36), (37), (41), (42), (43), (44), (45), (46), (47) and (48) of above table 1. The most preferred compounds of formula Ia are compounds (22), (23), 15 (26) and (31).

The compounds of formula Ia, if Rz is SO3H, can be made by a methodology as outlined in scheme 4 below, until the R2,R3-disubstituted 3-amino-2-oxoazetidine hydroxysulfonate, 20 and reacting this further in a manner known per se to connect the 3-amino substituents. The compounds of formula Ia, if Rz is CRaRa'COOH, can be prepared following the synthesis scheme of compounds II to X as described in US-A-4,939,253 (column 15, line 26 to column 17, line 25), and reacting the obtained 25 oxoazetidine X further according to scheme 1 described here-inafter.

A second group of compounds of formula i which is pre-ferred in the combinations of the invention and is novel are those of the following formula Ib:
26 H2N ~N',N R5 R3 R2 i N 11 O
HIV`
O Rq Ib and the pharmaceutically acceptable salts thereof, wherein the residues R1, R2, R3, R4 and R5 are as defined for formula I.
This second group of compounds also forms part of the in-vention. Preferably, in these compounds R1 is S03H, R2 is H, R3 is methyl and R4 is C(Rx)(Ry)Z; whereby Rx = Ry = H, and Z
is a group of one of the formulae O O
Re Re N Rf AN Rf Rd Rd wherein Rd, Re and Rf are individually selected from hydrogen and hydroxy, with the proviso that at least two of Rd, Re and Rf are hydroxy (most preferably Rd and Re are hydroxy and Rf is hydrogen).

The antibiotically active monobactams of formula I may firstly be combined with b1) (3-lactamase inhibitors of the above general formula II.

In formula II, R8 is preferably of the formula Q- (X) r-CO-. The following subgroups are more preferable within this formula:
27 a) With x = -CH2- and r = 1; wherein Q is a pyridinium group which may be substituted with one to three substituents, preferably one to two substituents, selected from alkyl; per-fluoroalkyl, in particular trifluoromethyl; phenyl; benzyl;
RuRvN-, wherein Rõ and Rv are independently selected from hy-drogen, alkyl, cycloalkyl, pyrrolidinyl, carbamoyl and N-(carbamoylalkyl)carbamoyl, or wherein Ru and Rv taken together form an alkylene bridge -(CH2)-w, with w being an integer num-ber of 3 to 6; alkylcarbonyl; RuRvNCO-1 wherein Ru and Rv are as defined before; (alkoxycarbonyl)alkyl; thiocarbamoyl and alkoxycarbonyl; or wherein Q is a pyridinium group which is fused with a 5-6 membered carbocycle; and thioamide. Examples within this subgroup are pyridinium, 2-, 3- or 4-aminopyridinium, 3-N-methylaminopyridinium, 3-N,N-di-methylaminopyridinium, 4-(N-methylamino)pyridinium, 4-(N,N-dimethylamino)pyridinium, 3-carbamoylpyridinium, 3-(N-methyl-carbamoyl)pyridinium, 3-(N,N-dimethylcarbamoyl)pyridinium, 4-carbamoylpyridinium, 4-(N-methylcarbamoyl)pyridinium, 4-(N,N-dimethylcarbamoyl)pyridinium, 3-(N-cyclopropylcar-bamoyl)pyridinium, 4-(N-cylopropylcarbamoyl)pyridinium, 4-(N-' methylcarbamoyl)pyridinium, 3-(methoxycarbonyl)pyridinium, 3-(ethoxycarbonyl)pyridinium, 4-(methoxycarbonyl)pyridinium, 4-(ethoxycarbonyl)pyridinium, 3-thiocarbamoylpyridinium, 3-(N-methylthiocarbamoyl)pyridinium, 3-(N,N-dimethylthiocar-bamoyl)pyridinium, 4-thiocarbamoylpyridinium, 4-(N-methyl-thiocarbamoyl)pyridinium, 4-(N,N-dimethylthiocar-bamoyl)pyridinium, 2,3-, 2,4-, 2,5-, 2,6-, 3,4-, 3,5-, 3,6-dimethylpyridinium, 3- or 4-isopropylpyridinium, 3- or 4-(trifloromethyl)pyridinium, 3- or 4-phenylpyridinium, 3- or 4-benzylpyridinium, quinolinium, isoquinolinium, 5,6,7,8-tet-rahydroquinolinium and 5,6,7,8-tetrahydroisoquinolinium. In this subgroup, R7 is preferably -S03_ or -0503-, to form a
28 pharmaceutically acceptable inner salt. The compounds II of this subgroup a) themselves are per se also part of the inven-tion, but compound 102 of table 2 below is known from J. Med.
Chem. 1998, 41(21), 3961, and does per se not form part of the invention.

b) With X = -SCH2- and r = 1; wherein Q is 1,2,3,4-tetrazol-5-yl, which may be substituted at its 1-position with a substituent selected from alkyl, aminoalkyl or alkoxyalkyl.
Examples for this substituent are methyl, ethyl, propyl, bu-tyl, 2-aminoethyl, 2-(N-methylamino)ethyl, 2-(N,N-dimethylamino) ethyl, 3-aminopropyl, 3-(N-methylamino)propyl, 3-(N,N-dimethylamino)propyl, 2-(N-ethylamino)ethyl, 2-(N,N-diethylamino)ethyl, 3-(N-ethylamino)propyl and 3-(N,N-di-ethylamino)propyl. In these compounds, R7 is preferably -S03H
or OSO3H, whereby the possibility of formation of an inner, acid addition salt may be allowed, to form a pharmaceutically acceptable inner salt.
c) With X = -CH2NH2- and r = 1; wherein Q is phenyl which may be substituted with one to two substituents selected from hydroxy and alkoxy, or a 5-6-membered heterocycle which preferably is selected from oxazol-2-yl, -3-yl or -4-yl, fu-ran-2-yl or 3-yl, thiophen-2-yl or -3-yl, 1,3-thiazol-2-yl, -3-yl, -4-yl or -5-yl and which optionally may be substituted with one to two substituents selected from alkyl and alkoxy.
d) With X = -NH2- and r = 1, wherein Q is phenyl which may be substituted with one to two substituents selected from hydroxy; alkoxy and a substitued urea of the formula H2N[(CH2)m0]n(CH2)oHNCONH- or a substituted carbamate of the formula H2N[ (CH2)mO]n(CH2)CHNCOO-, wherein m and o are inde-pendently integer numbers from 2 to 3 and n is an integer num-ber from 0 to 1. Examples for Q here are phenyl, 2-, 3- and 4-
29 hydroxyphenyl, 2,3-, 2,4-, 2,6-, 3,4-, 3,5- and 3,6-di-hydroxyphenyl, 2-, 3- and 4-methoxyphenyl, 3-[N'-(2-(2-amino-ethoxy)et-hyl}carbamoylamino]phenyl, 3-[N'-(2-(3-aminopro-poxy)et-hyl}carbamoylamino]phenyl, 3-[N'-(3-(2-aminoeth-oxy)propyl)carbamoylamino]phenyl, 3-[N'-(3-(3-aminopro-poxy)propyl)carbamoylamino]phenyl, 4-[N'-{2-(2-aminoeth-oxy)ethyl}carbamoylamino]phenyl, 4-[N'-{2-(3-aminopro-poxy)ethyl)carbamoylamino]phenyl, 4-[N'-{3-(2-aminoeth-oxy)propyl)carbamoylamino]phenyl, 4-[N'-(3-(3-aminopro-poxy)propyl) carbamoylamino Iphenyl, 3-[N'-{2-(2-aminoethoxy)et-hyl}carbamoyloxy]phenyl, 3--[N'-{2-(3-aminopropoxy)et-hyl}carbamoyloxy]phenyl, 3-[N'-{3-(2-aminoeth-oxy)propyl)carbamoyloxy]phenyl, 3-[N'-(3-(3-aminopro-poxy)propyl)carbamoyloxy]phenyl, 4-[N'-(2-(2-aminoeth-oxy)ethyl}carbamoyloxy]phenyl, 4-[N'-{2-(3-aminopro-poxy)ethyl}carbamoyloxy]phenyl, 4-[N'-(3-(2-aminoeth-oxy)propyl)carbamoyloxy]phenyl and 4-[N'-{3-(3-aminopro-poxy)propyl}carbamoyloxy]phenyl.

Particularly preferred examples of the compounds of for-mula II are according to the following table 2 table 2 Compound R7 R8 number HN \ +I
Y

N

N
y O

N
y O

N
y O

N
y O
107 503- H2N\^
I +

HN
`J ~N+

O

HN
~N+

O

N
y HZN

O

(N.
y O

N

O +I
N
O

O \ +I
y O

O
N+
y O

N
y O

N
y O

y ~ I F

N
y O

O
N
H
N
y N
y N
y O
H +I
N
y N
y y 128 S03 (yNyNH2 N
O
y N
y 201 S03Na S/-~
o N-N

202 SO3Na N
~-S

~N

S ---HN~N -N-NyS O
N-N

N-206 S03Na N-N

HN S
O

HN / ~~-S~
N O

S

N

HN 1 g~
O
~NH

rN ~,~S/-~

H

HN
-N O

HN ` g/-~
O
~NH

301 S03Na H N -Tr I O
302 S03Na H

303 SO3Na H
HO
\ N,lr 304 S03Na H

~O \ I 0 305 S03Na 0 H

O
306 S03Na HO H

HO )a 0 307 S03Na ~N H N` r 308 S03Na 00 H
H2N"S N
O
309 SO3Na H

N, N \ I O
310 S03Na H

N
NJr 311 S03Na H

O
312 S03Na 0 H
H2N <)_-N-lr HN O

313 S03Na N-O H
\O' / Ny 314 S03Na N
S

Y

315 S03Na H

H zNAN O
H
316 S03Na H
I O
H O O O
317 S03Na HO H
\ 0 \ IOI
319 S03Na H N

H
320 S03Na 0 H

o 321 S03Na H
HO II

N
H
323 S03H ('NH2 H

O N

NJ~N I 0 H H

CNINJZXO
H H

, N
HN~N \ I 0 H

N

(NIN \ I 0 HNJ H
327 S03Na H
HN \ I 101 328 S03Na H2N 0 H
NY

O
329 S03Na 0y0 -1~0 JN,O(NH
330 S03H 0--~

H H
331 S03H f0 HN ~\i Nom/
N1~11O H
N
HN N "I 0 YH

~ Y N
HN or 0 333 S03Na H
O N
H

N

N a ~

Nom/
II
\' 0 337, S03H CNJ

H
Ny O

NN~ y N) N \ I 101 H H

~

341 S03H EN) O NY

O

N \ I 0 343 S03H N XNy N

N \ I 101 N
H2N--~
O
S

H O
O

HO
OH
404 S03Na ._.

HO -N
S

405 SO3Na F
HN

Ozt~

N O
N---\ ~
N_~ N
O
408 SO3Na H H, O

The numbering of the preferred compounds of formula II
as given in above table 2 is used in the following for the sake of conciseness.

The compounds of the above table 2 are, when their com-pound numbers are underscored and bold, part of the present invention. Otherwise they are disclosed in EP-A-0-508 234, US-B-6,566,355 and J. Med. Chem. 1998, 3961. These publications are hereby incorporated by reference.
The compounds of formula I may also be combined with other 1-lactamase inhibitors. These further inhibitors are:

b2) monobactam derivatives of the above general formula III:
Examples of these compounds are disclosed in WO-A-99/10324 and WO-A-98/47895, incorporated herein by reference.

A preferred example of these compounds is 3-{(2E)-3-[(1,5-dihydroxy-4-oxo(2-hydropyridyl))methoxy]-2-(2-thienyl)-3-azaprop-2-enoylamino}(3S, 4S)-4-methyl-2-oxoazetidinesulfonic acid disclosed in WO-A-98/47895.
b3) penam sulfone derivatives of the above general formulae IV
and V:

Here, preferred examples of the 5-6 membered heteroaro-matic ring as R12 are 1,3-thiazol-2-yl, 1,2,4-oxadiazol-3-yl and 1,2,3-triazol-1-yl.

Particularly preferred examples of the compounds of for-mula V are sulbactam, tazobactam and the compounds of the fol-lowing table (in parentheses the source):

R10 R11 Compound number hydrogen (1Z)-2-cyanovinyl 501 hydrogen (1E)-3-oxo-but-1- 502 en-1-yl EP-A-0 640 607 hydrogen (1Z)-2-(1,3- 503 thiazol-2-yl)vinyl EP-A-0 640 607 hydrogen (1E)-2-(1,2,4- 504 oxadiazol-3- EP-A-0 640 607 yl)vinyl carboxymethylene CH3 (Bioorg. Med. Chem.
Lett. 1995, 1513) hydrogen (1E)-2-methoxy-2- US-A-5,686,441 azavinyl hydrogen (1E)-2,3-diaza-4- US-A-5,686,441 oxo-pent-l-en-1-yl The numbers used in the rightmost column of this table are also used in the tests for biological activity (see be-low).

b4) oxapenam derivatives of the above general formula VI:

A preferred compound of formula VI is clavulanic acid or a customary pharmaceutically acceptable salt thereof (i.e. a clavulanate).

b5) penem derivatives of the above general formula VII:

Here, preferred examples of the 5-6 membered heteroaro-matic ring which may be bound over a -CH=CH- spacer as R15 are 1,2,3-triazol-4-yl, 2H,3H-imidazo[2,1-b]1,3-thiazolidin-6-y1 and 2'-[1-methyl-1,2,3-triazolin-4-yl]vinylidene.

Preferred examples for inhibitors of formula VII are e.g. 6-[(1-methyl(1,2,3-triazol-4-yl))methylene]-5-oxo-6aH-azetidino[2,1-b]1,3-thiazoline-3-carboxylic acid and 6-(2H,3H-imidazo[2,1-b]1,3-thiazolidin-6-ylmethylene)-5-oxo-6aH-azetidino[2,1-b] 1,3-thiazoline-3-carboxylic acid (as described in Antimicrob. Agents Chemother. 1989, 1580 and Antimicrob.
Agents Chemother. 1991, 1748), and 6-[(2E)-3-(1-methyl(1,2,3 triazolin-4-yl))prop-2-enylidene]-5-oxo-6aH-azetidino[2,1-b]1,3-thiazoline-3-carboxylic acid (as described in J. Antibi-otic 1997, 50, 350).
b6) cephem sulfone derivatives of the above general formula VIII:

Here, a preferred example of the 5-6 membered heteroaro-matic ring as R16 is 2-thienyl.

Preferred examples are here 3-(acetyloxymethyl)-1,1,6-5 trioxo-7-(2-pyridylmethylene)-2H,7aH-azetidino[2,l-b]1,3-thiazine-4-carboxylic acid (Biorg. Med. Chem. Lett. 2000, 853 and Biorg. Med. Chem. Lett. 2000, 847) and 3-(acetyloxymethyl)-7-{[(tert-butyl)oxycarbonyl]methylene}-1,1,6-trioxo-2H,7aH-azetidino[2,1-b]1,3-thiazine-4-carboxylic 10 acid (J. Med. Chem. 1995, 38, 1022).

b7) carbapenem derivatives of the above general formula IX:
Here, preferred combinations for Rk and Rl are: Rk = hy-15 drogen and R1 = sulfamoyl or 3-carboxyphenyl (or vice versa);
and Rk = Rl = methyl.

Preferred examples these compounds are imipenem, mero-penem, ertapenem and doripenem.
b8) boronate derivatives of the above general formula X.
b9) boronate derivatives of the above general formula XI:

Examples of these compounds are 3-[(4-phenylsulfonyl-2-thienylsulfonyl)amino]phenyl]boronic acid (Chem. Biol. 2001, 8, 593) and [3-[[4-[(4-carboxyphenylsul-fonyl)amino]phenylsulfonyl]amino]phenyl]boronic acid (Chem.
Biol. 2001, 8, 594).

b10) phosphonate derivatives of the above general formula XII

Preferred examples of these are {[(4-nitrophenoxy)(hydroxyphosphoryl)]methyl}[benzylsulfonyl]amine, {[(4-nitro-phenoxy)(hydroxyphosphoryl)]methyl}(phenylsulfonyl)amineand {[(4-nitrophenoxy)(hydroxyphosphoryl)]methyl)(2-thienylsulfonyl)amine, (benzo[b]thiophen-2-ylsulfonyl)([(4-nitrophenoxy)(hydroxyphosphoryl)]methyl}amine and 2-[(4-nitrophenoxy)(hydroxyphosphoryl)]-1-(phenylsulfonyl)hydrazine (all described in US-A-2004/082546 and US-A-2004/029836); and b11) diazabicyclooctane derivatives of the above general for-mula XIII:

A preferred example of these is (1R, 2S, 5R) 2-(aminocarbonyl) -7-oxo-1, 6-diazabicyclo [3.2. 1] octane-6-sulfonic acid (as described in WO-A-2002/01219, WO-A-2002/010172, FR-A-2835186 and FR-A-2848210).

The pharmaceutical compositions of the present invention may comprise, besides the compound of formula I, two or more compounds selected from the above formulae II to XIII, being different from each other. Pharmaceutical compositions com-prising triple combinations of a compound of formula I and two different compounds selected from the groups b1) to b11) are a preferred embodiment of the invention.

Preferred combinations for the pharmaceutical composi-tions of the invention are compounds of formula I, where R1 is S03H, OSO3H or OCRaRa'COOH, wherein Ra and Ra' are as de-fined for formula I;
R2, R3 and R5 are as defined for formula I;

R4 is C(Rx)(Ry)Z, with either:
- Rx = Ry = H and Z is a group of one of the formulae O O
XX Re Re N Rf AN Rf Rd Rd wherein Rd, Re and Rf are as defined for formula I; or - Rx = Ry = methyl and Z = COOH;
or R4 is 4-hydroxypyridino[3,2-b]pyridin-3-yl)methoxy; and R6 is 2-amino-1,3-thiazol-4-yl, 2-amino-5-chloro-1,3-thiazol-4-yl, 5-amino-1,2,4-thiadiazol-3-yl, 5-aminopyrazol-3-yl or 4-aminopyrimidin-2-yl; ;
with either one of (1S,5R)-2-[2-(3-carbamoylpyridyl)acetyl]-7-oxo-2,6-di-azabicyclo[3.2.0]heptane-6-sulfonic acid, (1S,5R)-2-[2-(4-aminopyridyl)acetyl]-7-oxo-2,6-diazabicyclo[3.2.0]heptane-6-sulfonic acid, (1S,5R)-2-[2-(3-carbamoyl-6-methylpyridyl)acetyl]-7-oxo-2,6-diazabicyclo[3.2.0]heptane-6-sulfonic acid, (1S,5R)-2-[2-(5-methyl(1,3,4-thiadiazol-2-yl-thio))acetyl]-7-oxo-2,6-diazabicyclo[3.2.O]heptane-6-sulfonic acid, sodium salt, (1S,5R)-2-[2-(1-methyl(1,2,3,4-tetraazol-5-ylthio))acetyl]-7-oxo-2,6-diazabicyclo[3.2.0]heptane-6-sul-fonic acid, sodium salt, (1S,5R)-2-{N-[4-({[2-(2-aminoeth-oxy)ethyl]amino)carbonylamino)phenyl]carbamoyl)-7-oxo-2,6-di-azabicyclo[3.2.0]heptane-6-sulfonic acid, (1S,5R)-2-[N-(4-{[(2-aminoethyl)amino]carbonylamino)phenyl)carbamoyl]-7-oxo-2,6-diazabicyclo[3.2.0]heptane-6-sulfonic acid or (2S,3S,5R)-3-((12)-2-cyanovinyl)-3-methyl-4,4,7-trioxo-4-thia-l-azabicy-clo[3.2.0]heptane-2-carboxylic acid.

More preferred are composition wherein the above double combinations are further combined with one of sulbactam, cla-vulanic acid or a customary pharmaceutically acceptable salt thereof, i.e. a clavulanate. These compositions thus comprise triple combinations.

Particularly preferred are compositions with the fol-lowing double and triple combinations (the numbers are as in the foregoing tables la, lb, 2a and 2b):
Aztreonam Compound 102 Sulbactam Aztreonam Compound 102 Clavulanate Compound 1 Compound 501 Compound 1 Compound 102 Sulbactam Compound 1 Compound 102 Clavulanate Compound 1 Compound 103 Clavulanate Compound 1 Compound 111 Clavulanate Compound 1 Compound 202 Clavulanate Compound 1 Compound 206 Clavulanate Compound 1 Compound 323 Sulbactam Compound 1 Compound 323 Clavulanate Compound 1 Compound 324 Clavulanate Compound 12 Compound 102 Sulbactam Compound 12 Compound 102 Clavulanate Compound 12 Compound 103 Sulbactam Compound 12 Compound 323 Sulbactam Compound 12 Compound 324 Sulbactam Compound 21 Compound 102 Sulbactam Compound 21 Compound 102 Clavulanate Compound 21 Compound 323 Sulbactam Compound 21 Compound 323 Clavulanate Compound 21 Compound 324 Sulbactam Compound 22 Compound 102 Clavulanate Compound 22 Compound 324 Clavulanate Compound 22 Compound 324 Sulbactam Compound 26 Compound 102 Clavulanate Compound 26 Compound 102 Sulbactam Compound 26 Compound 324 Clavulanate Compound 26 Compound 324 Sulbactam Compound 29 Compound 102 Sulbactam Compound 29 Compound 102 Clavulanate Compound 29 Compound 323 Sulbactam Compound 29 Compound 324 Sulbactam Pharmaceutical compositions with triple combinations of compound no. 1 according to formula I with any one of the com-pounds of formula II and with clavulanate form a particularly preferred embodiment of the invention, such as do kits-of-parts (articles) with this combination.

The compounds of formula I are compounds known from the above cited literature references, or can be made in an analo-gous manner, or can be made as described in the following. If in the following schemes a number is assigned to an intermedi-ate then this intermediate is per se presumed novel and may form part of the invention.
The compounds of formula I can generally be prepared by reacting aryl or heteroaryl carboxylic acids of general formu-la A with 3-amino-azetidin-2-one compounds of general formula B (scheme 1). In this scheme, R4 may also have the meaning of a protecting group, which may then be removed, in order to subsequently connect the actually desired R4.
Scheme 1 R Ra 0 5 a N-o N" HzN R RR2 e / 5 3 RBOH + RN R R RZ
'I N, O R O
A B I O R

The coupling reaction of compounds of general formula A with compounds of general formula B can be performed with the cor-responding acyl chlorides of the aryl or heteroaryl carboxylic acids of general formula A or with the carboxylic acids A
themselves and DCC (Chem. Pharm. Bull -1983, 2200) or with an activated ester of the aryl or heteroaryl carboxylic acids of general formula A, such as the N-hydroxysuccinimidyl ester (see Org. Process Res.& Dev. 2002, 863) or the benzothiazolyl thioester (see J. Antibiotics 2000, 1071). Alternatively, com-5 pounds of formula I can also be prepared as outlined in scheme 2 (with R1 = SO3H see also J. Antibiotics 1985, 346; J. Org.
Chem. 1981, 1557).

Scheme 2 N,O HR5 R3 N_0 N-O

R6)yOH + ZN R2 R6 y: Rs N R3 z. _ R6 N R.
IIII N //R O
0 O H O N.

A) Preparation of compounds B
The preparation of compounds of general formula B can be carried out in different ways according to the substituents present in 1, 3 and 4-positions (Scheme 3, 4, 5). (J. Org.
Chem. 1980, 410; J. Org. Chem. 1985, 3462; ; J. Antibiotics 1985, 346; J. Antibiotics 1985, 813; J. Antibiotics 1986, 76;
Tetrahedron Lett. 1986, 2789, J. Med. Chem. 1985, 1447; Chem.
Pharm. Bull. 1984, 2646, J. Am. Chem. Soc. 1990, 760).

Scheme 3 HZN.
O p Mltsunobu p to OH to OH reaction or O 3 oyp HNR3 HNR3 Pyr. SO3 HN R z HZ / Pd /
Rz Rz -~ -R HN RRZ
N.
O OH O O O O

i O .
O
TIC13 HN to R Z DMF.S03 Ht RRZ TFA HZN RRz ~ R ~tN 0 SO3H 0 SO3H
O H
Scheme 4 y O O
/ p 3 OR 0 3 p R
HN R R2 O HN RRz DMF.S03 HN O RR3 Z
N
O q 0 OH `
R OR
0 Br SO3H
TFA Pa..Ra ~COOEt TFA j t 3 HZN R3 z H2N RRz O N, R Oy O O

R OR HN RRZ
p Ra O ):~\ Ra' O \Y
COOEt TFA

HZNRz NRa O Ra COOEt Scheme 5 0 H2N 0- 0 Mitsunobu oyo Ra OH ~=N / OH reaction R3 H2N R2 HN R2 N,N,N HN- / RZ Condition' HN R2 H,/Pd d -OH 0 N~=N orPyr.S03 0" rN -~ o NN N
1000 N,N N N
N N.N. 1001 1NHZ \
Ra'~/OEt 0 Mitsunobu 00 HZN R2 R. IIo`` HN OH R3 reaction R3 H2/ Pd conditions HNRZ
R2 IN Ra' OEt or Pyr.S03 O OEt Ra Ra' OEt Ra Ra 1002 R.

A-i) In the above schemes 3 and 5, generally an enantiomeri-cally pure N-protected (3-hydroxy amino acid 1000 is required as the starting material. This precursor 1000 can be prepared in different ways, as outlined in the following sections A-1-I) to A-1-IV):

A-i-I) Where R2 = R3 = R and preferably is alkyl, alkenyl, al-kynyl, optionally substituted benzyl or optionally substituted phenyl, a synthesis according to the following scheme A-i-I or scheme A-1-Ia may be used:

Scheme A-1-I

H a C s H3 C CH3 1) 4 eq RMgX s 1) H2O / H+ (aceto-p 2) 2 eq Ac2O O x O nide removal) OHC OAc R R 2) Na104 / H2O, R R
R R MeOH pH -7 EtOOC COOEt AcO OAc R,NH2 (Rq ~-Rq or allyl) RqN 1)HCN / OHC_'N
Jacobsen's Schiff OAc base catalyst OH
I 2) Ac20 / formic acid NC
R R recrystallize R R

NH2 N-protection with 1 65% H2SO4 OH BOC-Cl or t-butyl 2) HCl conc. HOOC chloroformate 3) hydrogenolysis R R - 1000 (2S)-1006 In the above scheme A-1-I, the configuration of the a-carbon atoms in the. starting diethyl tartrate needs not be defined.
The indicated chiral Jacobsen's catalyst for the asymmetric Strecker synthesis of the amino acid (2S)-1006 has been known from Angew. Chem. Int. Ed. 2000 1279. As the catalyst is available in both enantiomers, the corresponding (3-hydroxy amino acid with the D-corifiguration at the a carbon atom ((2R)-1006) may also be produced. The latter is suited for producing N-protected (3 hydroxy amino acids 1000a where the hydrogen atom at the a carbon atom is replaced by R5 (see sec-tion A-1-IV below).

Scheme A-1-1a O O
RMgX )~ k TEMPO
oxydation HN O HNO

H3000C"~

APTS, DMP HCI, THE
O
O
O_N RMgX 0 H3000C O HO1,~0 R R

In the above scheme A-1-Ia,' the preparation of the dialkylsubstituted /1-hydroxy a-amino acid 1000 starts from the commercially available enantiomerically pure N-BOC serine methyl ester 1007 (J. Org. Chem. 2003, 177, Tetrahedron, 1996, 11673). The synthesis follows the chemistry based on Rapoport's methodology, which is known to keep the conforma-tional integrity of the starting amino acid (J. Org. Chem.
1989, 1866, J. Org. Chem. 1990, 3511).

A-1-II) Similary, where R2 and R3 are different from each other and are preferably independently selected from alkyl, alkenyl, alkynyl, optionally substituted benzyl and optionally substi-tuted phenyl, the following scheme A-1-II, modified from scheme A-1-I, may be used to produce 1000:

Scheme A-1-II
H3 ` CH3 eq. R2U, H3C CH3 /^/\ H3 \ CH3 /11-1, 2 2 eq. . T MSCI CI /X\
2 0 0 1) 2eq. R3MgX 0 0 ~O 2 R2 2) aq. workup O O 2) 2eq Ac2O 3 R?..... .. R
EtOOC COOK R2 R2 AcO OAc 1) H2O / H+ (aceto- NH2 nide removal) OHC OAc NH 3 / KCN OH
-`-" HOOC
2) NalO4 / H2O, 3 R 2 R
MeOH pH -7 R3 2 1013 (2S)-1014/
N-protection with (2R)-1014 diastereomer NH2 BOC-CI or t-butyl separation OH chloroformate R3 _R2 (2S)-1014 In this scheme R2 is particularly preferably methyl. The in-troduction of the second residue R3 into 1011 by Grignard re-action gives, according to Cram, predominantly the shown di-5 astereomer of 1012, due to the chelating effect of the oxygen atom of the oc-acetonide substituent. In the Strecker synthesis step without chiral auxiliary, both diastereomeric amino acids (2S)-1014 and (2R)-1014 may form as a mixture due to the newly formed chiral oc-carbon atoms. The diastereomers of the so pro-10 duced (3-hydroxy amino acids 1014 may be separated using ion exchange chromatography with aqueous buffers as the mobile phase, as is customary in the art. The correct diastereomer (2S)-1014 may be identified as the one that produces faster a dipeptide, when each of the diastereomers (2S)-1014 and (2R)-15 1014 is reacted under otherwise identical conditions with N-benzoyl L-alanine methyl ester and carboxypeptidase Y as the dipeptide-forming enzyme (for an appropiate experimental pro-cedure see example 1 of EP-A-0 017 485). The other, undesired diasteromer (2R)-1014 may be used for the production of N-protected (3-hydroxy amino acids 1000a where the hydrogen atom at the (x carbon atom is replaced by R5 other than hydrogen (see section A-1-IV below).

Scheme A-1-Ha 0 >0 1 - DIBAH
z - R2MgX O
HNO OH APTS, DMP O_--k N a Swern oxidation O~

H3COOC)_'_" H000C' v *1015 R3MgX or R3Li O > O
Jones oxydation O~NH APTS, MeOH O~NJ( 1000 ~% ~ OH = R2 ~O
R3 OH 1v017 R3 OH 1016 Scheme A-1-11a outlines an alternative procedure starting from protected serine 1007 and leading to disubstituted hydroxyl derivatives 1016 by controlling the stereochemistry of the ad-dition of the second substituent; either with R3Li, giving the.
Felkin adduct as major product, or with R3MgX, to obtain the anti-Felkin adduct as major product (Tetrahedron 1995, 8121).
A-1-III) where R2 is preferably alkyl, alkenyl, alkynyl, op-tionally substituted benzyl or optionally substituted phenyl, and R3 is H, or R2 is H and R3 is preferably alkyl, alkenyl, alkynyl, optionally substituted benzyl or optionally substi-tuted phenyl, a synthesis according to following scheme A-i-III) may be adopted to form 1000:

Scheme A-1-III
racemate re-solution with O O (S)-mandelic 0 0 pivaloyl acid aldehyde Bzcl Mew _ Me~N _~> e~N N
MeNH NBz NH2 , N 1020 t-B/ H t-Bu 1018 t-Bu 1021 1) LDA, -70 1) LDA, -70 2) R3CHO, -100 2) R2CHO, -100 3) H2O/H , RT
O 3) H2O/H*, RT

Me, 1022+ R2 OBz Mew N
N H OBz t-Bu ~_H 1023 ,--H H
t-Bu H2O/H*, 100 H2O/OH-OH
HOOCH ,) 3 (2S,3R)-1026 O
Me, N-protection with BOC-CI or 1024H
t-butyl chloroformate t-Bu Ph3P / DEAD
1000 AcO-N-protection with BOC-CI or t-butyl chloroformate 1025 o R2 OH
(2S,3S)-1026 Me--,~'A HOOC R2 H OAC

NH H2O/H*, 100 t-Bu 5 2 This methodology was developed by Seebach (Helv. Chim. Acta 1987. 237) . In scheme A-1-III, the conversions on the left pathway yield the N-protected (3-hydroxy amino acid 1000 where R2 = hydrogen, in defined configuration. The conversions on the right pathway yield the N-protected (3-hydroxy amino acid 1000 where R3 = hydrogen, also in defined configuration.
A-1-IV) When the azetidinone B contains R5 other than hydro-gen, then an N-protected (x-R5-substituted (3-hydroxy amino acid 1000a is required, analogous to a corresponding above amino acid 1000, except for the additional R5 substituent. This amino acid 1000a may be used in above schemes 3 and 5 instead of 1000.

A-1-IVa) When R5 is preferably alkyl, and one of R2 and R3 is preferably hydrogen, and the other one preferably is alkyl, alkenyl, alkynyl, optionally'substituted phenyl or optionally substituted benzyl (or both of R2 and R3 are preferably inde-pendently selected from alkyl, alkenyl, alkynyl, optionally substituted phenyl and optionally substituted benzyl) the technology described in part A-1-III (Helv. Chim. Acta 1987.
237) can be employed, but using 2-tert-butyl-N-benzoyl-1,3-oxazolidinone as chiral inductor (scheme A-1-IVa below). The introduction of the electrophile R5-X leads to the compound 1029. A condensation with aldehyde R2CHO as second electro-phile gives the R2,R5-disubstituted oxazolidinone 1030 with control of the stereochemistry. If desired, the configuration at the newly formed secondary alcohol in 1030 may be inverted, such as under Mitsunobu conditions, to form the epimeric R2,R5-disubstituted oxazolidinone 1031. If onto 1029 a conden-sation with ketone R2C(O)R3 as the second electrophile is car-ried out, then R2,R3,R5-trisubstituted oxazolidinones 1032 may be produced. If necessary the formed epimers of 1032 may be separated, such as by chromatography. All three compounds 1030, 1031 and 1032 may subsequently be converted by hydroly-sis of the benzoyl group and the oxazolidinone ring and re-protection of the amino group desired compounds 1000a.

Scheme A-1-IVa O 1) LDA, -70 O
O 2) R5X, -100 (X = leaving group) Y BzCI Y 3) H2O/H+, RT _ Y R5 ~H Ya )__NBz NBz t-Bu t-Bu t-Bu Y = N-Me, 0 1) LDA, -70 2) R2CHO, -100 1) LDA, -70 2) R2C(O)R3, -100 O R2 Mltsunobu O R2 O R2 R3 '_OH - -~ -õOH OH
Y
~--NBz R51030 $o31 R5 1032 _NBz ~NBz t-Bu t-Bu t-Bu 1) optional epimer 1) H2O/H+ 1) H2O/H+ resolution 2) amino group 2). amino group 2) H2O/H+
re-protection re-protection 3) amino group re-protection 1000a 1000a 1000a A-1-IVb) When the azetidinone B contains alkoxy as R5 and one of R3 or R2 preferably as hydrogen, and the other. one prefera-bly as alkyl, alkenyl, alkynyl, optionally substituted phenyl or optionally substituted benzyl, then another example of preparation of amino acids 1000a is outlined in following scheme A-1-IVb (in the scheme R3 is assumed as hydrogen). It is based on the chemical description written on Biochemistry 2004, 3385 and Fortschr. Chem. Org. Naturst., 1979, 327. The approach relies on the established oxidation of an N-acyl a-amino ester to a highly reactive intermediate N-acyl a-imino ester, which then adds R5-containing nucleophiles (alcohols R '''OH wherein R1110 = R5). The various protecting groups R' and R, would be removed subsequently (not shown in the scheme).

A-1-IVc) Similarly, for the case where azetidinone B contains 5 alkoxy as R5 and both R3 and R2 are preferably independently selected from alkyl, alkenyl, alkynyl, optionally substituted phenyl and optionally substituted benzyl, an approach acccord-ing to following scheme A-1-IVc may be used. By this scheme it is possible to prepare (3-disubstituted N-protected amino acids 10 1000a following the synthetic pathway described in scheme A-1-Ia and scheme A-1-IIa.

Scheme A-1-IVb hydroxyl and NaORI R removal of "' protecting carboxyl protec- O O (OR"' = R5) groups R', R"
tion (R', R") R" õ R2 O-R - 1000a 1000 3- R2 0' NHBoc R", NHBoc (ex (2R)-1006 or (2R)-1014; 1033 1034 R3 H) Scheme A-1-IVc hydroxyl and Synthesis accor-tiornb(RyIR") protec- R . O ding to scheme R',, A-1-la or A-1-Ila _ 1000 O'R' _ OH 1000a R 0 NHBoc ~~ R` 0 NHBoc (ex (2R)-1006 or (2R)-1014 1035 R2 = R3 = H) 1036 in above scheme A-1-IVc, the conversions 1000 to 1035 are 15 analogous to the conversions of 1000 to 1034 in above scheme A-1-IVb.

A-2) A range of compounds B, where R2 = CH2X1 and R3 = H, can be directly made in analogy to the procedure' described in J.
Antibiotics, 1983 1201 followed by standard functional group conversions (scheme A-2):

Scheme A-2 CbzN K+ X1- / 18-crown-6 CAN CbzN
OTs X1 ?NH
CH3CN /reflex CbzN

NAr (X1 = F, CI, Br, O 1, azido, cyano) NAr O OH-O (X1 1) 1037 Ph3P
1) Zn (X1 = 1) (X1 = azido) 2) RxOCOCI OH
COORX e.NH N=PPh3 CbzN H
H
CbzN CUN
NH

RYNH2 NAr O
(RY = alkyl, 0 C
OH' ISO
phenyl) CbzN 2NCO
y COOH \RCOCI OCONH2 H CONHR CbzN H. H O alkyl) CbzN

1040 NAr 1041 NH
NAr O
if CAN CAN NHCOR

CONHRY COOH CbzN H CbzN H
CbzN ?NH CbzN
NH NH
?NH O O

This scheme shows how to form compounds B where X1 is prefera-bly selected from halogen, azido, amino, hydroxyl, cyano, car-boxyl, alkoxycarbonyl, alkanoylamino, phenylaminocarbonyl, al-kylaminocarbonyl, aminocarbonyl, carbamoyloxy, alkylaminosul-fonyl and optionally substituted phenylaminosulfonyl. The com-mon starting material shown in the upper left of scheme A-2 is known from T. Org. Chem. 1982. 2765. in this scheme, in all the obtained compounds B the final removal of the Cbz protect-ing group by hydrogenolysis is not shown.

B) Preparation of compounds A
The preparation of compounds of general formula A required in schemes 1 and 2 can be carried out in a customary way by re-acting an appropriately R6-substituted keto acid A3 with an appropriately R4-etherified hydroxylamine (schemes 6 and 7 be-low) Scheme 6 O'R4 Rq R6^ 'OR [O] s OR NaOH / H2O O NH2 N' R Re OH R6 OH
O O O
A
Al A2 A3 ROH
(R = Me, Et) Re,-YOH
O
AO

Scheme 7 O-R q i O
O O O O NH2 N, Re)~ Oi -j- ReJLT/S- R6S- R( H Re( OH
A4 A5 oS' A6 0 A3 o A 0 The R6-substituted keto acid A3 required in both schemes 6 and 7 can be prepared via 2 different synthetic pathways, as de-scribed in the following.

A3 may firstly be obtained by oxidation of an ester Al leading to the glyoxalate derivative A2, followed by hydrolysis of the ester group (scheme 6). The oxidising agent used in the con-version from Al to A2 is not critical. Examples of suited oxi-dising agents are Se02 (J. Antibiotics 1983, p. 1020f.), DMSO, X2 (Bull. Chem. Soc. Jpn. 1994, 1701), X2 and pyridine-N-oxide (Bioorg. Med. Chem. 2003, 591) where X2 is a halogen; with Se02 being preferred.

The R6-substituted keto acid A3 can also be prepared via the condensation of methyl methylthiomethyl sulfoxide according to above scheme 7 (J. Antibiotics, 1984, 546, J. Antibiotics, 1984, 557) in a 4 step synthesis from the esters A4 R6COOCH3 or R6COOEt. The methyl methylthiomethylsulfoxide is first con-densed with A4 derivatives to give the methyl thioglyoxylate compound A6 after acidic treatment.

Examples of preparation of intermediates A0, Al or A4 (scheme 6 and 7) are as outlined in the following subsections B-1-1a) to B-2-Id). Some of these intermediates are also commercially available.

B-i-I) R6 can be a 5 membered heteroaromatic ring containing 1 to 4 heteroatoms such as N, 0, S and which may be substituted with 1 to 4 substituents selected from alkyl, hydroxyl, alkoxy, amino, alkylamino, carbonylamino and halogen such as F, Cl, Br or I, preferably Cl.

B-1-1a) Thiadiazole derivatives The preparation of derivatives A0, Al or A4, where R6 is a thiadiazole, especially 1,2,4-thiadiazole, may be performed as described in Biorg. Med. Chem. 2006, 1644, included herein by reference. Examples of compounds Al, may be prepared starting from 3 -amino- 5 -methoxyisoxazol e or methyl amidine in presence of thioesters, potassium thiocyanate or isothiocyanate as out-lined in scheme B-1-Ia (Bull Chem Soc Jpn. 1994, 1701, J. An-5 tibiotics 1983, 1020). In this scheme, R is preferably se-lected from hydrogen, alkyl, alkoxy, amino, alkylamino and carbonylamino.

Scheme B-1 4a R
N_ N~
Me0 S

ROEt 0 NHCOOEt NH2 EtO NCS N
/S
/ \N -r Me0 N
MeO 0 0 a) protection of 4 amino group b) base / C02 c) esterification H2N` /CH3 Br2, KSCN N~NH2 1I I~ = base NH

10 B-1-1b) Scheme B-1-Ib outlines examples of starting materials A0, Al and A4 (Helv. Chim. Acta 1982, 2606; Russ. J. Org.
Chem. 2003; 1133, Tetrahedron Let. 1979, 2827) obtained from substituted thiohydrazines. Using BrCN and these as starting material, 1049 may by prepared and then can lead to 2-amino-15 (1,3,4-thiadiazol-5-yl) acetic acid 1050. In scheme B-1-Ib, R
is preferably selected from hydrogen, alkyl, alkoxy, amino, alkylamino and carbonylamino.

Scheme B-1-1b o O Rte,/S ~rri ~\N-N
S
A ,-NH2 0 N CICOCOOEt RCS 1048 N-N

BrCN a) amino silyl Br Br - CH3) protection O
b) base / CO2 HO
S c) amino H2N\ __~ CH3 deprotection S NH2 N-N
N-N

In the above schemes B-1-Ia and B-1-Ib, the reaction with base / CO2, optionally by silyl protection of the amino group, may be carried out according to J. Antibiotics, 1984, 532 already cited above.

B-1-1c) 1,2,4-oxadiazole derivatives As outlined in the upper part of scheme B-1-IC indicated be-low, amide oxime derivatives 1051, wherein R is preferably se-lected from hydrogen, alkyl and alkoxy may be reacted with compounds such as carboxylic acid, acyl chloride or cyano de-rivatives to form 1,2,4-oxadiazole rings 1052,which are new examples of heterocycles derivatives Al. The lower part of scheme B-1-Ic, wherein R' is preferably selected from hydro-gen, alkyl, alkoxy, carbonylamino and halogen (in particular Cl), shows the synthesis of carboxylates 1054, 1056 of type Al which are isomeric to 1052 (Tetrahedron Lett. 1998, 3931, J.
Org. Chem 1995, 3112, J. Med. Chem. 1990, 1128, J. Pep. Re-search 2003, 233, Z. Chem. 1975, 57, ). For instance, compound 1056 may be obtained from the condensation of 1055 with BrCN.

Scheme B-I-Ic EtOOCCH2CO0Et or H2N-OH N-OH EtOOCCH2COCI N-0 0 R-CN R-' R-Q
NH2 N OEt H2N-OH Et0 N-OH R'COCI EtO~N-0 EtOOCCH2CN -, ~--/ -NH2 N R' HON-OH BrCN HON_O
i B-1-Id) Triazole derivatives Other examples of acids AO outlined in scheme B-1-Id shown be-low are triazolyl acetic acid derivatives, such as 1,2,4-triazolyl acetic acids 1057, which may optionally be substitu-ted by one substituent R preferably selected from amino, al-kyl, alkoxy and carbonylamino. The exemplary synthesis of 2-(5-amino-1,2,4-triazol-3-yl) acetic acid (R = NH2) by this scheme is known from Russ; J. Org. Chem. 1995, 240.

Scheme B-I-Id R NH HO OH O
HCO + / KAOH
HNC a YY N W+ '., O 0 NH

B-1-Ie) Thiazole and oxazole derivatives A versatile way for forming intermediates AO, Al or A4, whe-rein the residue R6 is an optionally substituted 1,3-thiazol-4-yl or 1,3-oxazol-4-yl, is according to the known reactions of a thioamide or amide with an (x-haloketone derivatives, as outlined in scheme B-1-Ie):

Scheme B-1-le R' O X R N X / R, :::i:- CI, Br, I 1060 COOK
Y

Y=OorS
X
R' R' O
O X
COOEtO 1059 1061 O
X=CI,Br,I

O
O O~Br H zN
+
HZN~NH, N /~/
COOEt COOEt In this scheme, R may preferably be selected from hydrogen, alkyl, alkoxy, amino, and alkylamino; and R' is preferably se-lected from hydrogen and alkyl. From substituted thioamides, and substituted ethyl halogeno pyruvate 1058 or compounds 1059 substituted 1,3-thiazol-4-yls 1060, 1061 may be obtained ac-cording to examples described in the literature such as Tetra-hedron Lett. 2005, 66; J. Chem. Soc. 1966, 1357; J. Chem. Soc.
1960, 925; J. Med. Chem. 1971, 1075; J. Het. Chem. 1980, 1255;
J. Med. Pharm. Chem. 1959, 577.

From similar keto ester derivatives 1059 in the presences of amide or thioamide derivatives, substituted 1,3-oxazol-4-yl acetic acid esters may be prepared as reported for instance in Bioorg. Med. Chem, 2003, 4325; Heterocycles, 2001, 689; Chem.
Pharm. Bull. 1986, 2840; Tetrahedron Lett. 1992, 1937. The preparation of compounds 1062 from urea with ethyl bromo pyru-vate is an example of preparation of 1,3-oxazole derivatives.
If R' is hydrogen and X is sulphur, then the thiazole moiety in 1060 or 1061 may subsequently be chlorinated using the pro-cedure as described in "Preparation 1" of EP-A-0 055 465.
B-1-If) Pyrazole derivatives.
Another example of heterocyclic intermediates A0, Al or A4 may be synthesised from substituted ethyl pyruvates in presence of hydrazine or substituted hydrazines according to the scheme B-1-If (J. Chem. Soc. 1945, 114; Helv. Chico. Acta 1955, 670, J.
Am. Chem. Soc. 1959, 2456). In this scheme, R is preferably selected from hydrogen, alkyl and carbonylamino, and R' is preferably selected from hydrogen, alkyl, alkoxy, carbonyl-amino, hydroxyl, amino, alkylamino and halogen (in particular Cl).

Scheme B-1-If O R
R' NON
O
H 1063 0 _ R

R' P,\/, 7 0 R' COOEt 'N 1064 COOEt The reaction shown in the lower part of the scheme is analo-gous to a synthesis described in J. Org. Chem. 2004, 5168.

B-1-Ig) Isoxazole derivatives Many isoxazoles with a carboxyl substituent in the 3-position and with one or two substituents selected from amino, alkyl 10 (in particular methyl and ethyl) and hydroxyl are commer-cially available. Similar commercially available isoxazoles with a methyl substituent in the 3-position and optionally one or two substituents R' and R' ' preferably independently se-lected from alkyl, alkoxy and halogen, may again be converted 15 to corresponding carboxylate-containing isoxazoles by convert-ing that 3-methyl substituent to carboxylate using base and carbon dioxide (scheme B-1-1g). For example, in US-A-4,394,504 3-amino-5-isoxazolyl-2-acetic acid 1065 was prepared from 3-amino-5-methylisoxazole in this way.

WO 2007/065288 PCT/CH2006/0006%5 Scheme B-1-Ig R"
R" OH
base / CO2 R' OWN R' O 1 O
,N

B-2) R6 can also be a phenyl ring which may be substituted with 1 to 5 substituents selected from alkyl, hydroxyl, alkoxy, amino, alkylamino, carbonylamino and halogen or a 6-membered heteroaromatic ring containing 1 to 5 .heteroatoms such as N and which may be substituted with 1 to 5 substitu-ents selected from alkyl, hydroxyl, alkoxy, amino, alkylamino, carbonylamino and halogen (such as F, Cl, Br, I, preferably Cl).
B-2-1a) A very general way of obtaining keto acids A3 for above schemes 6 and 7 is by direct Friedel-Crafts acylation of an appropiately substituted corresponding phenyl or heterocy-cle R6-H, using excess oxalyl chloride. This way is feasible for all keto acids A3 where R6 is phenyl or a heterocycle which may be substituted by one to five substituents selected from alkyl, alkoxy, dialkylamino and halogen (in particular chloro), with the proviso that the phenyl or heterocycle has at least one unsubstituted carbon atom (the carbon atom that will carry the gyloxaloyl substituent). The appropiately sub-stituted corresponding phenyl or heterocycle R6-H (where H is bonded to the said unsubstituted carbon atom) is reacted with excess oxalyl chloride under Friedel-Crafts conditions, fol-lowed by removal of excess oxalyl chloride and hydrolysis of the remaining free acyl chloride group of the introduced gly-oxaloyl moiety. Friedel-Crafts acylation is also feasible for such phenyls or heterocycles where some of the one to five substituents are hydroxyl, amino, alkylamino. These substitu-ents, however, are preferably protected as the before the acy-lation step and the subsequently deprotected.

B-2-Ib) Examples of intermediates A4 are commercially avai-lable pyridinecarboxylic acids, such as picoline (2-pyridinecarboxylic acids), nicotinic acid (3-pyridinecarboxylic acids) or isonicotinic acid (3-pyridinecarboxylic acids), which may optionally be substituted at the pyridyl by a substituent selected from alkoxy, halogen (in particular chloro) and amino.
B-2-Ic) Further examples of acids AO are 2-pyridyl acetic acids, such as 2-(pyridyl-2) acetic acids 2-(pyridyl-3) acetic acids or 2-(pyridyl-4) acetic acids which may optionally be substituted at the pyridyl by a substituent selected from al-koxy, halogen (in particular chloro) and amino.
These can be obtained by deprotonating an appropriately sub-stituted methylpyridine with a strong base such as N-BuLi or LDA and reacting the anion with carbon dioxide. In this reac-tion, the methyl substituent of the methyl pyridine is at the position where the acetic acid will be. The optional amino substituent at the pyridine may have been appropriately pro-tected beforehand, such as with TMS-Cl. An exemplary reaction of this type can be found in DE-OS-2848912 and J. Antibiotics 1984, 532.
B-2-Id) R6 can also be a pyrimidine derivative.

Scheme B-2-Id (below) shows that amidine derivatives (J. Org.
Chem. 1962, 3608) can lead to either 2-substituted pyrimidine Al or A4 (DE-OS-2848912, J. Antibiotics 1984, 546) . Compounds 1068 (R = Cl) can easily be obtained by reaction with phospho-ryl chloride from 1067. The chlorine can then easily be sub-stituted by nucleophiles such as ammonia, alkylamines or alco-hols and lead to compounds 1068 with R = amino, alkylamino or alkoxy (J. Antibiotics 1984, 546).

Scheme B-2-Id N
EtO N I NH2 n = 0 CACN O 1066 OEt NH
O
\In NH2 OH R
n=1 COOEt N~ N

N NH2 "
H2N OEt \ CHO
O OR 0 OEt Another group of commercially available or synthetically ac-cessible esters A4 are pyrimidyl-4 (ethyl 5,6-diaminopyrimidine-4-carboxylate, ethyl 2-amino-5-chloro-pyrimidine-4-carboxylate), pyrimidyl-5 (ethyl 2,4-diaminopyrimidine-5-carboxylate, ethyl 2-chloro-4-amino-5-carboxylate, ethyl 2,4-dichloropyrimidine-5-Carboxylate)or py-rimidyl-6 (ethyl 2-chloro-4-amino-pyrimidine-6-carboxylate, ethyl 4,5-diaminopyrimidine 6-carboxylate) which are also con-sidered as examples of 6-membered heterocyclic rings as R6 (Tetrahedron Lett. 1967, 1099; Chem Pharm. Bull. 1970, 1003.
Justus Liebig Ann. Chem. 1954, 45).

B-3) The hydroxylamines required in both above schemes 6 and 7, can be prepared in several methods, as outlined in scheme 8 below.
These hydroxylamines may be prepared firstly according to J.
Antibiotics, 2000, 1072 with N-hydroxyphthalimide via Mitsuno-bu reaction conditions in presence of the alcohols R4-OH or by alkylation of N-hydroxyphthalimide in presence of activated compounds R4-X (X can be halogens like Cl, Br, I, or activated sulfonate esters like mesylate, tosylate, triflate, etc.).
When R4 has the structure C(Rx)(Ry)Z, with both Rx and Ry dif-ferent from hydrogen, or is a tertiary alkyl, then N-hydroxyphthalimide may simply be treated with a stoichiometric amount of BF3.Et20 with the corresponding alcohol R4-OH (Tetra-hedron Lett., 2005, 6667). Formation of the final hydroxylami-nes may be performed in presence of either hydrazine or methyl hydrazine. The oxaziridine technology developed by Ellman can also been employed to give directly deprotected 0-substituted hydroxylamines (J. Org. Chem. 1999, 6528). (scheme 8).

Scheme 8 O N 0 Fi PPh3 / DEAD O O NH2NH2 O'R4 Or X4 Base NH2 -R

O
/ N-OH HN
8F3.Et2o O O'R4 base H

Alcohols R4-OH or compounds R4-X are either commercially avai-lable or may be prepared as described in following sections B-3-Ia) to B-3-Ie).

B-3-Ia) A first method, where R4 is C(Rx)(Ry)Z, with Z =
CH2N(OH)COR', is outlined, as example, in the.following scheme B-3-Ia, using a-halogenoalcohols 1069 or 1071 and N-Boc-O-(p-methoxybenzyl)hydroxylamine. The a-halogenoalcohols 1071 can 10 be prepared from derivatized epoxides 1070 which can be opened in acidic conditions (Eur. J. Org. Chem. 2004, 2557). The a-halogenoalcohols 1069 can be obtained by chiral reduction of corresponding a-halogenoketones (Tetrahedron:Asymmetry 2005, 3955).
Scheme B-3-11a epoxide 0 opening HO- X
Rx '!~ ' Rx,')_j Ry Ry (R)-1070, (R)-1071, (S)-1070, (S)-1071, O OtBu y rac-1070 rac-1071 R~Ry I
or or OMe HO N'OCHZCBH40Me meso-1070 meso-1071 (Rx = Ry) (Rx = Ry) BOCNHO 1072 base 1) alcohol protection 2) hydrolysis of BOC
group chiral HO X 3) R'COCI, base O X reduction HO X 4) alcohol deprotection 0 111-1 5) hydroxylamine forma-R -~- R H or H"' tion with oxaziridine R
(R=RxorRy, X = Cl, Br) (S)-1069 (R).1069 O R' R RY~
O OCH2C6H4OMe N

In the above scheme B-3-1a, the epoxides meso-1070 may be made from a ketone with two identical residues Rx = Ry = R with trimethylsulfonium iodide and base. For the epoxides (R)-1070 and (S)-1070 the synthesis may start from a ketone with two different residues Rx # Ry, using an asymmetric epoxide for-ming reaction such as the catalytic epoxidation developed by Aggarwal (Accounts of Chemical Research, 2004, 37, pp.
611ff.). The conversion of 1069 and 1071 to 1072 is analogous to the procedure of Bioorganic & Medicinal Chemistry Letters 1996, 6(17), 2077ff.. In the conversion of 1072 to 1073, again the oxaziridine technology developed by Ellman can be employed to give the hydroxylamine (J. Org. Chem. 1999, 6528).

B-3-Ib) A second method, particular suited for hydroxylamines where R4 is C(Rx)(Ry)COOH, is outlined in the following scheme B-3-Ib. These hydroxylamines may be obtained from the cor-responding alcohols R4-OH via Mitsunobu reaction conditions in presence of N-hydroxyphthalimide. The starting material R4-OH
in turn may be obtained, as shown in the upper parts of scheme B-3-Ib, from an appropiately Rx,Ry-substituted ketone. To this ketone is added trimethylsilyl cyanide, either with or without a chiral catalyst, to obtain a silyl protected cyanohydrin 1074. The chiral thiourea catalyst indicated in scheme B-3-Ib, if used, and its conditions for use have been described in J.
Am. Chem. Soc. 2005, 8964. The protected cyanohydrin is then reduced with LiAlH4 to the corresponding aldehyde 1075 and then esterified to 1076. As an alternative to the Mitsunobu reaction using R4-OH, the hydroxyl group of N-hydroxyphthalimide can also be alkylated in presence of acti-vated compounds R4-X (X can be halogens like Cl, Br, I, or ac-tivated sulfonate esters like mesylate, tosylate, triflate, etc; these are easily obtainable from the corresponding R4-OH). Formation of the desired hydroxylamine may be performed in presence of either hydrazine or methyl hydrazine, as shown in the lower part of scheme B-3-Ib, following the procedure described in J. Antibiotics, 2000, 1071.
Scheme B-3-1b Me3SiCN 1) LIAM, R R 30 Me3SiCN 2) H2O / H+ HO CHO
--~ 1075 Rx Ry Rx Ry O Me3SiCN
chiral thiourea catalyst HO COOEt R4 Rx Ry CF3CH2OH / -78 I = Oi Rx Ry H
1076 (R4 = C(Rx)Ry)COOEt) B-3-Ic) A further variant for the preparation of hydroxylami-nes where. R4 is C(Rx)(Ry)COOH, may start with the epoxides 1070 shown in above scheme B-3-Ia. These epoxides may be ope-ned, as is customary, with aqueous base to form a vicinal di-ol; in which the primary hydroxy group is then converted to the aldehyde and then to the ester as outlined in the above scheme B-3-1b in the conversion of 1075 to 1076.
B-3-Id) For hydroxylamines where in R4 Z is O
Re N
Rd wherein Re and Rd are ORg (Rg being preferably selected from hydrogen, alkyl or optionally substituted benzyl for each Re and Rd), Rd is preferably hydrogen, alkyl, amino, monoalkyla-mino, optionally substituted benzyl, alkoxycarbonyl or ORg (wherein Rg is as for Re and Rd); and wherein Rx = Ry = H; the following synthetic scheme B-3-Id may be adop-ted:
Scheme B-3-Id 0 o HO TMSCI / base H2N-Rd TMSO TMSO

Rd N-hydroxy- 0 1077 phthalimide, 1) deprotection PPh3, DEAD TMSO with fluoride O 0 _ I I 2) Rg-X / base Rg0 AN hydrazine RgO 31. 1 0 I I ONHZ

Rd 0"1 O
N Rd N Rd This scheme adheres to the synthetic procedure described in EP-A-0 251 299. The kojic acid used as the starting material is commercially available. in the conversion from the silyl-protected kojic acid to 1077 the reactands H2N-Rd are amines, when Rd is hydrogen, alkyl or optionally substituted benzyl, they are hydrazines, when Rd is amino or monoalkylamino; they are carbamates, when Rd is. alkoxycarbonyl; and when Rd is ORg, these reactands are hydroxylamines. in the conversion of 1078 to 1079, the reactands Rg-X are hydrogen halides, alkyl hali-des or benzyl halides, wherein X is preferably Br or I. These reactands Rg-X are known or easily made from the corresponding alcohols Rg-OH. In the above scheme, instead of trimethylsilyl other protecting groups could also be used, such as benzyl, diphenyl or trityl as reported in J. Antibiotics 1990, 1450.
B'-3-1e) For hydroxylamines where in R4 Z is Re N Rf Rd wherein Re and Rd are ORg (Rg being preferably selected from hydrogen, alkyl or optionally substituted benzyl for each Re and Rd), Rf is preferably alkoxycarbonyl or alkylaminocarbo-nyl; and wherein Rx = Ry = H; the following synthetic scheme B-3-Ie may be adopted:
Scheme B-3-le HO benzyl NaOH
bromide 0 OBn OH OBn OH
Diphenyl diazomethane DiphO DiphO
0 I I Mn02 O
O
OH OH OBn OBn R'OH or R'NH2 (R' = alkyl) Amino add coupling conditions, (DCCI, DMAP or HBTU) 0 1 - Selective deprotection 2 - H2N-Rd DiphO
DiphO 3 - N-hydroxyphthalimide, PPh3 I I 4 - Hydrazine O

O O /X Rd R /X OBn R' NI-12 X = 0, NH 1082 The synthesis starts from kojic acid and is based on the known chemistry described in Biorg Med Chem Lett 2004, 3257; J. Med Chem 2002, 633; Bioorg Med. Chem. 2001 563 and J. Antibiotics 1990 1454. In the above scheme, the diphenylmethane protecting 5 group in 1082 may subsequently be removed and, if desired, the free hydroxy group be reacted with an appropiate halide R-X, wherein R is alkyl or optionally substituted benzyl. These last steps are not shown in the above scheme.

10 B-3-If) For hydroxylamines where in R4 Z is O
Re i Rf Rd wherein Re and Rd are ORg (Rg being preferably selected from hydrogen, alkyl or optionally substituted benzyl for each Re and Rd), Rf is preferably alkyl; and wherein Rx = Ry = H; a 15 gain starting from from kojic acid and with adapted protecting group strategy, further examples of pyridone derivatives which can be prepared are according to following scheme B-3-If:

Scheme B-3-If DiphO Swem Oxydation DiphO
I I I I
O
O
0 _'O

Wittig reaction R'P'Ph3CI-(R' = alkyl) DIphO
DiphO H)PdC DiphO
ARd I
R O~NHz R. O OH R I 0 0 HO R'CH=CR" CH2Br 0 180'C HO
OH I I
L OH R" 0 OH R.. OH

R' 1088 1087 1 HZJPdC

OiphO DiphO

= I I OH
R..
R" Rd Q, R' NHz The upper part of scheme B-3-If is based on the possibility to run a Wittig reaction (J. Med. Chem 2004, 6349) on the aldehy-de obtained after Swern oxidation. The resulting product 1083 may be subjected to hydrogenolysis in presence of Pd/C simi-larly to the preparation of compound 10'j in J. Med. Chem 2004, 6349. The resulting compound 1084 may then be treated as already outlined in above scheme 8 to obtain desired hydroxy-lamines 1085. The lower part of scheme B-3-If shows the prepa-ration of hydroxylamines with linear or branched alkyl as Rf.
In this part of scheme, R ' and R ' ' are preferably selected from alkyl (in particular methyl and ethyl) and hydrogen; more preferably one of R and R ' ' is hydrogen, or both R' and R' are hydrogen. A thermal rearrangement of products 1086, obtai-nable by alkylation of the 4-hydroxyl group of kojic acid with appropiately R',R " -substituted allyl bromides (J. Am. Chem.
Soc. 1956, 2816) leads to 6-substituted pyridones 1087. These may again be converted in the usual way to hydroxylamines 1089. In the above formed hydroxylamines 1085 and 1089 the diphenylmethane group may subsequently be removed and, if de-sired, the free hydroxy group be reacted with an appropiate halide R-X, wherein R is alkyl or optionally substituted ben-zyl. These last steps are not shown in the above scheme.
B-3-Ig) For hydroxylamines where in R4 Z is Re i CH3 Rd wherein Re is ORg (Rg being preferably selected from hydrogen, alkyl or optionally substituted benzyl), and Rd is preferably selected from hydrogen, alkyl, amino, monoalkylamino, optio-nally substituted benzyl or alkoxycarbonyl; and wherein Rx =
Ry = H; a synthesis analogous to the scheme B-3-Ig shown below may be used. Details of the syntheses in the upper part of this scheme can be found in J Med. Chem. 2004, 6349.

Scheme B-3-Ig 0 o H2CO /
HO I I SOCI~ O Zn HCHO HO I
NaOH
O I I I --~ O CH

Diphenyldiazomethane 0 1 - H2N-Rd 0 Dipho 2 - N-hydroxyphthalimide, PPh3 DiphO
3 - hydrazine O I OH

In the hydroxylamines 1090 obtained in above scheme B-3-Ig the diphenylmethane group may subsequently be removed and, if de-sired, the free hydroxy group be reacted with an appropiate halide R-X, wherein R is alkyl or optionally substituted ben-zyl. These last steps are not shown in the above scheme.
B-3-II) For hydroxylamines where z is N

N
OH

the following scheme B-3-II may be used. In this scheme, the naphthyridine hydroxylamine may be obtained from commercially available 4-hydroxy-1,5-naphthyridine-3-carboxylic ethyl ester after diphenyl protection of the hydroxyl group and reduction of ester group. Mitsunobu reaction in presence of N-hydroxyphthalimide and deprotection with hydrazine leads to the desired compound 1093.

Scheme B-3-II

NaH, N\ \ N`
Diphenyl NaBH4 0 bromide 0 N N
N O 0 OH 0 H2N'0 O OH \ \

B-3-III) Further suited hydroxylamines are those where Z is selected from:

H
,N\ RI 0-1 Ri N)L1 N

* OH OH

wherein Ri is as defined in claim 1. Those substituted 5-membered rings are known as bioisosteres (Curr. Med. Chem.
2004, 11, 945) of the carboxylic acid group. One particularly preferred hydroxylamine of this type, tetrazole methyl hydro-xylamine 1094, may be obtained from commercially chloro methyl tetrazole with N-hydroxyphtalimide according to the method described in J. Antibiotics 2000, 1071 (scheme B-3-IIIa be-low).

Scheme B-3-I11a H
o ,O N, N N
N,N O N N.N=N
NH-NH
N / O z z ?I- ~N
- N
CI O ,O
\ HZN

Isoxazole analogs (J. Heterocyclic Chem. 1997, 345, J. Med.
Chem. 1996, 183) or isothiazoles (J. Med. Chem. 1998, 930) are 5 also known as bioisosteres of the carboxylic acid group and may be done in similar way as outlined in the scheme B-3-IIIb below based on the following literature (J. Chem. Soc., Perkin 1 1993, 2153; Synthesis 1996, 1177, Acta Chem. Scand. 1990, 96.
Scheme-B-3-111b O NOH
\ O
Y N McOH/KOH 41N ! I Y N HBr ?~N
OH
Br p\ O O O

N N
Y=OorS O O /
Br C
Y.
~N / NH2NH2 I \ O

In this scheme, the removal of the benzyl protecting group in the resulting hydroxylamine-containing isoxazoles and isothia-zoles 1095 is not shown.

After formation of the ketoacid derivative A3, the condensati-on with 0-substituted hydroxylamine (prepared or commercially available like 0-methyl hydroxylamine) may be performed to lead to compounds of general formula A. The condensation of the hydroxylamines R4-ONH2 with the keto acid derivatives A3 to form the compounds A may then follow the procedure descri-bed in J. Antibiotics 2000, 1071 and W0-A-02/22613.

B-4) As an alternative of preparing compounds A, the esters Al may firstly be oxidised to form compounds A2 as shown in sche-me 6, then reacted with hydroxylamine, followed by 0-protection and ester hydrolysis, to lead to the intermediate C, which can be coupled to the azetidinone B. Substituents R4, can be introduced by alkylation. This alternate route is shown in the following scheme 9:

Scheme 9 P P

Re~O ~N.O P-X N.
0 1 R6 " O Rs l' ] R6 OH
O IOI I C O

~Ir N.
R
Ra B
O P
e OH 'O
Rs IIN R RRz R4 s R5 R3 2 TFA s N H R R3 2 X^
~- R R =E--- R 1 O O N Ri 0 N. 0 N.
i The compounds of formula II are compounds known from the above cited literature references (EP-A-0 508 284 and US-B-6,566,355) or can be made in an analogous manner or can be made as described in the following scheme 10.

The intermediate compound D (J. Med. Chem. 1998, 3961 and EP-A-0 508 234) gives access to compounds of formula IIA, IIB or to IIC using different synthetic routes outlined in scheme 10.
Scheme 10 O H N,H
O H

O O R1oiS"_[~OH
s II
R-, NJ~O,N
H O

Re N R9N~ R10.SJ_N
Hv, P H H HN,H H N,H

IIA

For the preparation of pyridinium carboxymethyl derivatives of formula IIA, two synthetic routes are possible (scheme 11):

- First pathway: Compound F, prepared from compound D in presence of bromo acetyl, bromide according to the proce-dures described in J. Med. Chem. 1998, 3961 and EP-A-0 508 234, may be sulfonated (J. Org. Chem. 1982, 5160).

Pyridine derivatives, condensed at room temperature in dimethylformamide, are either commercially available or synthesized according to known literature procedures.
- Second pathway: Compound D may be first hydrogenated in presence of BOC2O to afford the intermediate G (Tetrahe-dron Lett. 1988, 2983). Then sulfonation of compound G
followed by removal of the BOC protecting group generates compound H (J. Med. Chem. 1998, 3961 and J. Org. Chem.
1982, 5160).
At that stage the pyridinium carboxymethyl derivatives (prepared by analogy according to the procedures de-scribed in Synthesis 2000, 1733 or J. Chem. Soc, Perkin Trans. 11977, 1692) may be introduced to generate com-pounds IIA.

Scheme 11 BrJBr H2, Pd/C MSTFA, Py 0 MeOH HN CH2Ci2 Br H"O H HH H` NH
H NH

D E F
H2, Pd/C
DMF.S03 BOC2o !MeOH DMF
BrJN
H"" N"H li H"9 `"H
O O SOH
G

Py.SO3, Py I N
DMF
RB~~
TFA

H2C 7'v p N
CI2 R O pH ;
`N

3 N3HOB, DCC, DIPEA
0 SOH 0 'SOH

H IIA
The compounds of formula IIB may be obtained from com-pound H and succinimidyl derivatives according to the follow-ing scheme 12:

Scheme 12 RANN p_N
H H p RLN
H
HNN, H CH3CN 1 H2O H" N H

H IIB

Compound H may be prepared as previously described in scheme 11. Then the succinimidyl derivatives may be synthesized and introduced according to the procedures described in J. Med.
Chem. 1998, 3961.

Compounds of formula IIC may be obtained either from compound E or compound H according to the following scheme 13:

Scheme 13 H`N H R'o~S v _OH R1o.SJN DMF,S03 Rio.S~N
N, WO H" 'H
O H NH N.

E IIC
O

HIM, H

H
The compounds IIC may be synthesized via two different routes:
- either from compound E by first coupling with the thio-acetic acid derivatives, followed by a sulfonation step (J. Med. Chem. 1998, 3961), - or directly from compound H (see scheme 11) and thioace-tic acid derivatives.

The preparation of sodium salt of compound of formula I
and II can be performed either with the procedures described in WO-A-02/22613, US-B-6,566,355, J. Med. Chem. 1998, 3961 or in J. Antibiotics, 1985, 346.

In the above descriptions, the reactants are reacted to-gether with a suitable solvent at elevated or low temperatures for sufficient time to allow the reaction to proceed to com-pletion. The reaction conditions will depend upon the nature and reactivity of the reactants. Wherever a base is used in a reaction, they are selected from e.g. triethylamine, tribu-tylamine, triothylamine, pyridine, 4-dimethylaminopyridine, diisopropylamine, 1,5-diazabicyclo[4,3,0]non-5-ene, 1,8-diazabicyclo[5,4,0]undec-7-ene, sodium carbonate, sodium di-carbonate, potassium carbonate, potassium bicarbonate or ce-sium carbonate.

The deprotection of functional groups may be carried out either by hydrogenation or hydrolysis with appropriate acids such as hydrochloric acid, formic acid, trifluoroacetic acid, acetic acid or p-toluenesulfonic acid; in solvents such as methanol, ethanol, propanol, ethyl acetate, acetonitrile, me-thylene chloride or ethylene chloride. The hydrogenation is usually carried out in the presence of a metal catalyst, such as Pd, Pt or Rh under normal to high pressure.

The solvents of choice for the reaction are selected based upon the reactants used and from solvents such as ben-zene, toluene, acetonitrile, tetrahydrofurane, ethanol, metha-nol, chloroform, ethyl acetate, methylene chloride, dimethyl formamide, dimethyl sulfoxide, hexamethyl phosphoric triainide or the like. Solvents mixtures may also be used.

Reaction temperatures would generally range from between -70 C to 150 C. The preferred molar ratio of the reactants is 1:1 to 1:5. The reaction time range from 0.5 to 72 hours, de-pending on the reactants.

The compounds of formula I, Ia and Ib and their pharma-ceutically compatible salts can be used in accordance with the invention in the control or prevention of illness in mammals, human and non-human, especially in combination with f3-lactamase inhibitors.

Thereby, the compound of formula I or pharmaceutically compatible salts thereof with bases can be administered be-fore, simultaneously with or after the administration or in-take of one or more 0-lactamase inhibitors of formula II-XIII.
The products in accordance with the invention can be adminis-tered in the form of pharmaceutical compositions containing the combination of a compound of formula I or a phar-maceutically compatible salt thereof with a base, and one or more P-lactamase inhibitors of formula II-XIII; alternatively, they may also be administered separately from the (3-lactamase inhibitors, simultaneously or sequentially, in which case the combination according to the invention may be present as a kit-of-parts. Articles with such pharmaceutical combinations are also an object of the present invention.

The compounds of formula I are active against a variety of bacterial organisms. They are active against aerobic Gram-negative bacteria that do not produce (3-lactamases, including Enterobacteriaceae, for example Escherichia coli, Enterobacter cloacae, Enterobacter aerogenes, Citrobacter freundii, Kleb-siella pneumoniae, Klebsiella oxytoca, Proteus vulgaris, Providencia rettgeri; Pseudomonas for example P. aeruginosa;
Acinetobacter for example A. baumannii; Burkholderia, for ex-ample B. cepacea; Stenotrophomonas for example S. maltophilia.
Combinations of compounds of formula I and formula II are ac-tive against strains of the above organisms that do produce (3-lactamases and this activitiy can be increased by additionally combining compounds of formula III-XIII with the combination comprising compounds of formulae I and II.

FORMULATIONS
The pharmaceutical compositions and articles (kits-of-parts) according to the present invention are administered by any route, preferably in the form of a pharmaceutical compo-sition, or kit-of-parts of individual compositions, adapted to such a route. Dosage and route of administration should be de-termined by susceptibility of the causative organisms, se-verity and site of infection, and the condition of the pa-tient. The preferred types of pharmaceutical compositions are, for example, administered intravenously or by intramuscular injection.

Formulations for parenteral administration can be in the form of aqueous isotonic sterile injection solutions or sus-pensions. These solutions or suspensions can be prepared from sterile powders, granules or lyophilizates. The compounds can be dissolved in sterile water or in various sterile buffers that may contain sodium chloride, polyethylene glycol, propyl-ene glycol, ethanol, sucrose, glucose, arginine, lysine, or lactic acid. The dry compositions can contain from 0.1% to 99%
by weight, preferably 10% - 60% by weight, of each of active ingredients. If the compositions contain dosage units, each unit preferably contains from 50mg to 4g of each active sub-stance.

The ratio of P-lactam antibiotic (compounds of formula I
or pharmaceutically compatible salts thereof with a base) and (3-lactamase inhibitors (compounds of formula II and formula III-XIII, or pharmaceutically compatible salts thereof with a base) can also vary within wide limits and will be fitted to the individual requirements in each particular case. in gen-eral, a ratio of between 1 part of-antibiotic of general for-mula I to 5 parts of any one (3-lactamase inhibitor of general formula II or III--XIII and 20 parts of antibiotic of general formula I to 1 part of any one (3-lactamase inhibitor of gen-eral formula II or III-XIII should be appropriate.

The dosage of the compound of formula I and of the phar-maceutically compatible salts thereof with bases can vary within wide limits and will be fitted in each particular case to the individual requirements and to the (3-lactamase produc-ing pathogen to be controlled. In general, a dosage of about 0.1 to about 2 g of antibiotic administered one to four times over a 24 hours period should be appropriate.

The present invention is further illustrated by the fol-lowing non-limiting examples.
Example 1 (3S,4S)-3-{(2Z)-2-(2-amino(1,3-thiazol-4-yl))-3-((5-hydroxy-l-methyl-4-oxo(2-hydropyridyl))methoxy]-3-azaprop-.2-enoylamino)-4-methyl-2-oxoazetidinesulfonic acid (6) Preparation of 5-(diphenylmethoxy)-2-(hydroxymethyl)-1-methylhydropyridin-4-one 5-(Diphenylmethoxy)-2-(hydroxymethyl)pyran-4-one (J. An-tibiotics 1990, 189) (5.0 g, 16.22 mmol) and methyl amine (80,6 g, 1.04 mol) were stirred at room temperature overnight in presence of methanol (1 mL). The precipitate observed was filtered off and the mother liquor was extracted 3 times with ethyl acetate. The organic phases were dried and the solvent evaporated. The total amount of collected product was 2.1g.

1H-NMR (DMSO-d6) d: 3.49 (s, 3H), 4.29 (s, 2H), 6.22 (s, 1H), 6.74 (s, 1H), 7.20 - 7.60 (m, 11H).

Preparation of 2-{[5-(diphenylmethoxy)-1-methyl-4-oxo-2-10 hydropyridyl] methoxy)benzo[c] azoline-1,3-dione In THE (10.0 mL), containing triphenylphosphine (0.470 g, 1.79 mmol) and N-hydroxyphthalimide (0.293 g, 1.79 mmol) was added 5-(diphenylmethoxy)-2-(hydroxymethyl)-1-methylhydro-15 pyridin-4-one (0.240 g, 0.75 mmol). After cooling the solution at 0 C, diethyl-azodicarboxylate (0.312 g, 1.79 mmol) was added dropwise and stirred for 30 min at this temperature. The solution was then warmed up to room temperature and stirred overnight. A suspension was observed, filtered off and washed 20 to give 210 mg of the desired compound.

1H-NMR (DMSO-d6) d: 3.78 (s, 3H), 5.08 (s, 2H), 6.29 (s, 1H), 6.74 (s, 1H), 7.20 - 7.50 (m, 1OH), 7.69 (s, 1H), 7.80 -7.90 (m, 4H), Preparation of 2-[(aminooxy)methyl]-5-(diphenylmethoxy)-1-methylhydro pyridin-4-one Hydrazine hydrate (0.023 mL, 0.47 mmol) was added to ethanol (10 mL) already containing 2-{[5-(diphenylmethoxy)-1-methyl-4-oxo-2-hydropyridyllmethoxy)benzo(c] azoline-1,3-dione (0.200 g, 043 mmol). The resulting solution was refluxed for 2 hours. After cooling at room temperature the precipitate was collected and the ethanol was evaporated. The resulting resi-due was triturated in ethyl acetate to give 130 mg of the ex-pected compound.
1H-NMR (DMSO-d6) d: 3.51 (s, 3H), 4.43 (s, 2H), 6.21 (s, 1H), 6.29 ( br s, 2H), 6.74 (s, 1H), 7.20 - 7.50 (m, 10H), 7.56 (s, 1H).

Preparation of (2Z)-3-{[5-(diphenylmethoxy)-1-methyl-4-oxo(2-hydropyridyl)] methoxy}-2-{2-[(triphenyl-methyl)amino](1,3-thiazol-4-yl)}-3-azaprop-2-enoic acid In a mixture of ethanol (5 mL) / chloroform (3mL), 2-[(aminooxy)methyl]-5-(diphenylmethoxy)-1-methylhydropyridin-4-one (0.076 g, 0.23 mmol) and 2-oxo-2-(2-[(triphenyl-methyl)amino](1,3-thiazol-4-yl)}acetic acid (0.085 g, 0.21 mmol) were stirred at room temperature for 12 hours. The sol-vents were evaporated and ethyl acetate was added to the resi-due. The resulting suspension was filtered off to afford 77 mg of the desired compound.

1H-NMR (DMSO-d6) d: 3.49 (s, 3H), 5.00 (s, 2H), 6.24 (s, 1H), 6.72 (s, 2H), 6.83 (s, 1H), 7.15 - 7.50 (m, 25H), 7.57 (s, 1H), 8.85 (S, 1H).

Preparation of (3S,4S)-3-((2Z)-3-{[5-(diphenylmethoxy)-1-methyl-4-oxo(2-hydropyridyl)]methoxy}-2-{2-[(triphenylmethyl)amino](1,3-thiazol-4-yl)}-3-azaprop-2-enoylamino)-4-methyl-2-oxoazetidinesulfonic acid (2Z)-3-{[5-(diphenylmethoxy)-1-methyl-4-oxo(2-hydro-pyridyl)]methoxy}-2-{2-[(triphenyl methyl)amino](1,3-thiazol-4-yl)}-3-azaprop-2-enoic acid (0.380 g, 0.52 mmol), dicyclo-hexylcarbodiimide (0.160 g, 0.78 mmol) and 1-hydroxy-7-azabenzotriazole (0.106 g, 0.78 mmol) were stirred at room temperature for 3 hours. Then (3S,4S)-3-amino-4-methyl-2-oxoazetidinesulfonic acid (0.103 g, 1.04 mmol) and a catalytic amount of triethylamine were added to the previous solution which was stirred for 16 hours at room temperature. The sol-vent was evaporated in vacuo and the residue was purified by column chromatography (silica gel, eluent; dichloromethane and methanol, 95/5, v/v). 100 mg of desired compound was obtained.

1H-NMR (DMSO-d6) d: 1.35 (d, 3H, J = 6.0 Hz), 3.55 -3.60 (m, 1H) 3.83 (s, 3H), 4.34 (dd, 1H, J = 2.5, 7.7 Hz), 5.21 (s, 2H), 6.75 (m, 1H), 6.77 (s, 1H), 7.00 (s br, 1H), 7.15 - 7.60 (m, 26H), 8.39 (s br, 1H) 8.83 (s, 1H), 9.33 (d, 1H, J = 7.7 Hz).

(3S, 4S) -3-{ (2Z) -2- (2-amino (1, 3-thiazol-4-yl)) -3- [ (5-hydroxy-l-methyl-4-oxo(2-hydropyridyl))methoxy]-3-azaprop-2-enoylamino}-4-methyl-2-oxoazetidinesulfonic acid (6) (3S,4S)-3-((2Z)-3-{[5-(diphenylmethoxy)-l-methyl-4-oxo(2-hydropyridyl)]methoxy}-2-{2-[(triphenyl-methyl)amino](1,3-thiazol-4-yl)}-3-azaprop-2-enoylamino)-4-methyl-2-oxoazetidinesulfonic acid (0.076 g, 0.08 mmol) was dissolved in dichloromethane (3 mL). Triethylsilane (0.021 mL, 0.25 mmol) was added at -10 C and trifluoroacetic acid (0.327 mL, 4.25 mmol) was added dropwise and stirred for 1h at the same temperature. The solution reacted at room temperature for 2 hours. Then dichloromethane was evaporated in vacuo and the residue was purified by preparative HPLC to give 35 mg of the desired compound.

Example 2 (3S,4S)-3-((2Z)-2-(2-amino(1,3-thiazol-4-y1))-3-[(1,5-dihydroxy-4-oxo(2-hydropyridyl))methoxy]-3-azaprop-2-enoylamino}-4-methyl-2-oxoazetidinyl hydroxysulfonate (12) The titled compound was prepared following scheme 1.
(2Z)-3-{[1,5-bis(diphenylmethoxy)-4-oxo(2-hydro-pyridyl)]methoxy)-2-{2-[(triphenylmethyl)amino](1,3-thiazol-4-yl)}-3-azaprop-2-enoic acid was prepared according to the pro-cedures described in J. Antibiotics, 1990, 1450 and WO-A-02/22613 and (3S,4S)-3-amino-4-methyl-2-oxoazetidinyl hydrox-ysulfonate was prepared according to the procedures described in J. Am. Chem. Soc, 1982, 6053 and J. Antibiotics, 1985, 1536.
Final assembly and deprotection steps were done simi-larly according to the method described for the example 1.
Example 3 (3S,4S)-3-{(2Z)-2-(4-aminopyrimidin-2-y1)-3-[(1,5-di-hydroxy-4-oxo(2-hydropyridyl))methoxy]-3-azaprop-2-enoylamino}-4-methyl-2-oxoazetidinesulfonic acid (21) The titled compound was prepared following scheme 8.
(22)-3-{[1,5-bis(diphenylmethoxy)-4-oxo(2-hydro-pyridyl)]methoxy)-2-{4-[(triphenylznethyl)amino]pyrimidin-2-yl)-3-azaprop-2-enoic acid was prepared according to the pro-cedures described in J. Antibiotics, 1984, 546 and (3S,4S)-3-amino-4-methyl-2-oxoazetidinesulfonic acid was prepared ac-cording to the procedures described in J. Org. Chem. 1980, 410.
Final assembly and deprotection steps were done simi-larly according to the method described for the example I.
Example 4 2-((3S,4S)-3-{(2z)-2-(2-amino(1,3-thiazol-4-y1))-3-[(1,5-dihydroxy-4-oxo(2-hydropyridyl))methoxy]-3-azaprop-2-enoylamino}-4-methyl-2-oxoazetidinyloxy)acetic acid (22) The title compound was prepared following scheme 1.
(2z)-3-([1,5-Bis(diphenylmethoxy)-4-oxo(2-hydro pyridyl)]methoxy)-2-(2-[(triphenylmethyl)amino](1,3-thiazol-4-yl)}-3-azaprop-2-enoic acid was prepared according to the pro-cedures described in J. Antibiotics, 1990, 1450 and WO-A-02/22613 and 2-((3S,4S)-3-amino-4-methyl-2-oxoazetidiny-loxy)acetic acid was prepared according to the procedure de-scribed in J.. Med. Chem. 1985, 1447 and J. Antibiotics, 1985, 813.
Final assembly and deprotection steps were done simi-larly according to the method described for the example 1.
Example 5 (2S)-2-((3S,4S)-3-{(2Z)-2-(2-amino(1,3-thiazol-4-yl))-3-[(1,5-dihydroxy-4-oxo(2-hydropyridyl))methoxy]-3-azaprop-2-enoylamino}-4-methyl-2-oxoazetidinyloxy)propanoic acid (23) The titled compound was prepared following scheme 1.
(2Z)-3-([1,5-bis(diphenylmethoxy)-4-oxo(2-hydro-pyridyl)]methoxy)-2-{2-[(triphenylmethyl)amino](1,3-thiazol-4-yl)}-3-azaprop-2-enoic acid was prepared according to the pro-cedures described in J. Antibiotics, 1990, 1450 and WO-A-02/22613 and (2S)-2-((3S,4S)-3-amino-4-methyl-2-oxoazetidinyloxy)propanoic acid was prepared according to the procedure described in J. Med. Chem. 1985, 1447 and J. Antibi-otics, 1985, 813.
Final assembly and deprotection steps were done simi-larly according to the method described for the example 1.
Example 6 (3S)-3-{(2Z)-2-(2-amino(1,3-thiazol-4-yl))-3-[(1,5-di-hydroxy-4-oxo(2-hydropyridyl))methoxy]-3-azaprop-2-enoylamino}-4, 4-dimethyl-2-oxoazetidinyl hydroxysulfonate (26) The title compound was prepared following scheme 1.
(2z)-3-{[1,5-bis(diphenylmethoxy)-4-oxo(2-hydro-pyridyl)]methoxy}-2-{2-[(triphenylmethyl)amino](1,3-thiazol-4-yl)}-3-azaprop-2-enoic acid was prepared according to the pro-cedures described in J. Antibiotics, 1990, 43, 1450 and WO-A-02/22613 and (3S)-3-amino-4,4-dimethyl-2-oxoazetidinyl hydrox-ysulfonate was prepared according to the procedure described in J. Org. Chem. 2003, 177 and Tetrahedron Lett., 1986, 2789.
Final assembly and deprotection steps were done simi-larly according to the method described for the example 1.
Example 7 (3S,4S)-3-{(2Z)-2-(2-amino-5-chloro(1,3-thiazol-4-yl))-3-[(1,5-dihydroxy-4-oxo(2-hydropyridyl))methoxy]-3-azaprop-2-enoylamino}-4-methyl-2-oxoazetidinyl hydroxysulfonate (29) The titled compound was prepared following scheme 1.
(2Z)-3-{[1,5-bis(diphenylmethoxy)-4-oxo(2-hydro-pyridyl)]methoxy}-2-{5-chloro-2-[(triphenylmethyl)amino)(1,3-thiazol-4-yl)}-3-azaprop-2-enoic acid was prepared according to the procedures described in J. Antibiotics, 1990, 1450 and WO-A-02/22613 and (3S,4S)-3-amino-4-methyl-2-oxoazetidinyl hy-droxysulfonate was prepared according to the procedure de-scribed in J. Am. Chem. Soc, 1982, 6053 and J. Antibiotics, 1985, 1536.
Final assembly and deprotection steps were done simi-larly according to the method described for the example 1.
Example 8 (3S,4S)-3-{2-(2-amino(1,3-thiazol-4-yl))-3-[(5-hydroxy-l-methoxy-4-oxo(2-hydropyridyl))methoxy]-3-azaprop-2-enoylamino}-4-methyl-2-oxoazetidinesulfonic acid (5) The title compound was prepared following scheme 1.
The alcohol derivative 5-(diphenylmethoxy)-2-(hy-droxymethyl)-1-methoxyhydropyridin-4-one was obtained ac-cording to the following procedure;
5-(diphenylmethoxy)-2-(hydroxymethyl)-1-methoxyh dro-pyridin-4-one To a solution of DMF (20 mL) containing 5-(diphenyl-methoxy)-1-hydroxy-2-(hydroxymethyl)hydropyridin-4-one (J. An-tibiotics 1990, 1450) (2.0 g, 6.19 mmol) at 0 C was first added potassium tert-butoxyde (0.971 g, 8.66 mmol) and then iodo methane (4.23 g, 8.66 mol). The resulting mixture was stirred for 30 min at 0 C and then 2 h at room temperature.
Then ethyl acetate (20 mL) and water (50 mL) was added. The observed precipitate was filtered off and the washed with ad-ditional ethyl acetate. The total of amount of collected prod-uct was 1.4 g.

1H-NMR (DMSO-d6) d: 3.87 (s, 3H), 4.38 (d, 2H, J =
5.8Hz), 5.55 (t, 1H, J = 5.8Hz) 6.13 (s, 1H), 6.69 (s, 1H), 7.20 - 7.50 (m, 10H), 7.88 (s, 1H).

The compound of formula A (2Z)-3-([5-(diphenylmethoxy)-1-methoxy-4-oxo(2-hydropyridyl)]methoxy)-2-{2-[(triphenylmethyl)amino](1,3-thiazol-4-yl)}-3-azaprop-2-enoic acid was prepared according to the procedures described in ex-ample 1 and (3S,4S)-3-amino-4-methyl-2-oxoazetidinesulfonic acid was prepared according to the procedures described in J.
Org. Chem. 1980, 410.
Final assembly and deprotection steps were done simi-larly according to the method described for the example 1.
Example 9 (3S,4S)-3-{(2Z)-2-(2-amino(1,3-thiazol-4-y1))-3-1(1-hydroxy-5-methoxy-4-oxo(2-hydropyridyl))methoxy]-3-azaprop-2-enoylamino}-4-methyl-2-oxoazetidinesulfonic acid (7) The titled compound was prepared following scheme 1.
2-(hydroxymethyl)-5-methoxypyran-4-one was prepared from kojic acid according to the procedure described in J.Org.
Chem. 1950, 221 Then the preparation of the compound of formula A (2Z)-3-{[1-(diphenylmethoxy)-5-methoxy-4-oxo(2-hydro-pyridyl)]methoxy)-2-{2-[(triphenylmethyl)amino](1,3-thiazol-4-yl))-3-azaprop-2-enoic acid was prepared according to the pro-cedures described in example 1 and (3S,4S)-3-amino-4-methyl-2-oxoazetidinesulfonic acid was prepared according to the proce-dures described in J. Org. Chem. 1980, 410.
Final assembly and deprotection steps were done simi-larly according to the method described for the example 1.
Example 10 (3S,4S)-3-((2Z)-2-(2-amino(1,3-thiazol-4-yl))-3-[2-(hydroxyacetylamino) ethoxy]-3-azaprop-2-enoylamino}-4-methyl-2-oxoazetidinesulfonic acid (10) The titled compound was prepared following scheme 1.
The preparation of the compound of formula A (2Z)-3-(2-(N-[(4-methoxyphenyl)methoxy]acetylamino)ethoxy)-2-f2-[(triphenylmethyl)amino](1,3-thiazol-4-yl)}-3-azaprop-2-enoic acid was prepared according to the procedures described in Bioorg. Med. Chem. Lett. 1996, 2077 and (3S,4S)-3-amino-4-methyl-2-oxoazetidinesulfonic acid was prepared according to the procedures described in J. Org. Chem. 1980, 410.
Final assembly and deprotection steps were done simi-larly according to the method described for the example I.
Example 11 (3S,4S)-3-(2-(2-amino(1,3-thiazol-4-yl))-3-((l-amino-5-hydroxy-4-oxo(2-hydropyridyl))methoxy]-3-azaprop-2-enoylamino}-4-methyl-2-oxoazetidinesulfonic acid (11) The titled compound was prepared following scheme 1.
1-[(1E)-2-(4-nitrophenyl)-1-azavinyl]-5-(diphenyl-methoxy)-2-(hydroxymethyl) hydropyridin-4-one was prepared from kojic acid according to the procedure described in Helv.
Chim. Acta 1960, 461 Compound of formula A 3-({1-[(1E)-2-(4-nitrophenyl)-1-azavinyl]-5-(diphenylmethoxy)-4-oxo(2-hydro-pyridyl)}methoxy)(2Z)-2-{2-[(triphenylmethyl)amino](1,3-thiazol-4-yl))-3-azaprop-2-enoic acid was prepared according to the procedures described in example 1 and (3S,4S)-3-amino-4-methyl-2-oxoazetidinesulfonic acid was prepared according to the procedures described in J. Org. Chem. 1980, 410.
Final assembly and deprotection steps were done simi-larly according to the method described for the example I.
Example 12 2-((3S,4S)-3-((2Z)-2-(2-amino-5-chloro(1,3-thiazol-4-yl))-3-[(1,5-dihydroxy-4-oxo(2-hydropyridyl))methoxy]-3-azaprop-2-enoylamino}-4-[(aminocarbonyloxy)methyl]-2-oxoazetidinyloxy)acetic acid (42) The titled compound was prepared following scheme 1.
The preparation of the compound of formula A (2Z)-3-{[1,5-bis(diphenylmethoxy)-4-oxo(2-hydropyridyl)]methoxy}-2-{5-chloro-2-[(triphenylmethyl) amino](1,3-thiazol-4-yl)}-3-azaprop-2-enoic acid was achieved according to the procedures described in J. Antibiotics, 1990, 1450 and WO-A-02/22613 using 2-(5-Chloro-2-[(triphenylmethyl)amino](1,3-thiazol-4-yl)}-2-oxoacetic acid (obtained from 2-oxo-2-{2-[(triphenylmethyl)amino](1,3-thiazol-4-yl))acetic acid (DE2710902A1) and chlorination step achieved according to the procedures described in EP-A-0 055 465) and 2-[(aminooxy)methyl]-5-(diphenylmethoxy)-1-methylhydroxyridine-4-one (described in example 1).
The preparation of the compound of formula B 2-(trimethylsilyl)-ethyl {(3S,4S)-3-amino-4-[(aminocarbonyloxy)methyl ]-2-oxoazetidinyloxy)acetate was pre-pared as followed:
Preparation of 2-[(tert-butoxy)carbonylamino]-3,4-dihydroxy-N-(phenylmethoxy) butanamide.
To solution of tetrahydrofuran (THF, 6L) and phosphoric acid buffer (0.025 M, KH2PO4/Na2HP04i ratio 1/1, 2L) containing ethyl 3-[(tert-butoxy)carbonylamino]-2-hydroxy-3-[N-(phenylmethoxy) carbamoyl]propanoate (compound prepared from diethyl tartrate according to the procedures described in Org.
Synth., Coll. Vol. 1998, 220, J. Org. Chem. 1983, 3556 and US-A-4,794,108) (120 g, 31.38 mmol), sodium borohydride (59.35 g, 156.9 mmol) was added portion wise at 0 C over lh. The result-ing mixture was stirred at 0 C for an additional 1h and at room temperature for 2h. The micxture was cooled at 0 C before addition of 1M aqueous solution containing H3P04 until the pH
reach 8. NaCl (100g) was added to the mixture and the organic layer was separated. Extraction with ethyl acetate (3 x 1.5 L) was performed and the combined organic phases were washed with brine (1 L), dried over MgSO4 and evaporated under vacuo. The residue as purified by column chromatography using hex-ane/acetone as eluent to get 50g of white solid.
-ESI-MS spectrum: m/z: 339 [M-11+.

Preparation of 2-[(tert-butoxy)carbonylamino]-3-hydroxy-N-(phenylmethoxy)-4-(1,1,2,2-tetramethyl-l-silapropoxy)butanamide.

[(Tert-butoxy)carbonylamino]-3,4-dihydroxy-N-(phenylmethoxy) butanamide (47 g, 138 mmol), imidazole (37.5 g, 552 mmol) and tert-butyldimethylsilyl chloride (57.7 g, 386.4 mmol) were stirred at 0 C for 1h and the room tempera-ture for an additional 1 h in a mixture of dichloromethane (1.7 L) and dimethylformamide (17 mL). Water (250 ML) was added and after decantation, water (2 X 250 mL) and brine (250 mL) was used for washing the organic phases, which was dried over Na2SO4. After evaporation of the solvent, the residue was purified by column chromatography using a mixture of ethyl acetate/ hexane (1/4) as eluent to get 28g of the desired product.

1H-NMR (CDC13) S: 0.06 (s, 6H), 0.88 (s, 9H), 1.42 (s, 9H), 3.65 - 3.70 (m, 1H), 3.75 - 3.85 (m, 2H), 4.05 - 4.15 (m, 1H), 4.90 (s, 2H), 5.65 - 5.75 (m, 1H), 7.30 - 7.50 (rn, 5H).

Preparation of N-{(3S,4S)-2-oxo-1-(phenylmethoxy)-4-[(1,1,2,2-tetramethyl-l-silapropoxy)methyl]azetidin-3-yl}(tert-butoxy)carboxamide.

A solution of THE (1.5L) containing 2-[(tert-butoxy)carbonylamino]-3-hydroxy-N-(phenylmethoxy)-4-(1,1,2,2-tetramethyl-l-silapropoxy)butanamide (9.8 g, 21.56 mmol), triphenylphosphine (17.5 g, 66.8 mmol) and diethyl azodicar-boxylate (11.26g, 64.7 mmol) was stirred at room temperature for 2h. The solvent was evaporated in vacuo and the residue was purified under column chromatography using a mixture of ethyl acetate and hexane (1/4) as eluent to obtained 7.25g of the desired product.

1H-NMR (CDC13) S: 0.09 (s, 6H), 0.89 (s, 9H), 1.40 (s, 9H), 3.40 - 3.45 (m, 1H), 3.62 (d, 1H, J = 7.2 Hz), 3.88 (d, 1H, J = 7.2 Hz), 4.83 (m, 1H), 4.94 (s, 2H), 5.51 (d, 1H, J =

6.5 Hz), 7.35 - 7.45 (m, 5H).

Preparation of N-[(3S,4S)-4-(hydroxymethyl)-2-oxo-1-(phenylmethoxy)azetidin-3-yl](tert-butoxy)carboxamide.
N-((3S,4S)-2-oxo-1-(phenylmethoxy)-4-[(1,1,2,2-tetramethyl-l-silapropoxy)methyl]azetidin-3-yl}(tert-butoxy)carboxamide (2.80 g, 6.41 mmol) was dissolved in THE
(50 mL) and pyridine (5 mL). Pyridine-hydrofluoride com-plex(4.0 mL, 2.6 eq of pyridine, 24 eq of HF) was added at -20 C. After 10 min, the mixture was warmed up at room tempera-ture and stirred for 3.5 h. Phosphoric acid buffer (0.025 M, KH2PO4/Na2HPO4; ratio 1/1, 400 mL) was added and the resulting solution was extracted with ethyl acetate (3 X 100 mL). The organic phase was dried over Na2SO4 and the solvent was evapo-rated in vacuo. 2.04 g of the desired product was obtained and used for the next step.

1H-NMR (DMSO-d6) 8: 1.38 (s, 9H), 3.50 - 3.60 (m, 2H), 3.95 - 4.05 (m, 1H), 4.70 - 4.80 (m, 1H), 4.94 (s, 2H), 5.00 -5.10 (m, 1H), 7.20 - 7.30 (m, 1H), 7.35 - 7.50 (m, 5H).

Preparation of {(2S,3S)-3-[(tert-butoxy)carbonylamino]-4-oxo-1-(phenylmethoxy)azetidin-2-yl}methyl aminooate (reac-tion done according to procedures described in Chem., Eur. J.
2005, 1949) In anhydrous dichloromethane (100 ML), N-[(3S,4S)-4-(hydroxymethyl)-2-oxo-l-(phenylmethoxy)azetidin-3-yl](tert-butoxy)carboxamide (1.0 g, 3.1 mmol) and trichloroacetyl chlo-ride (1.11 mL, 9.3 mmol) were stirred at 5 C for 30 min. Then aluminium oxide (9.6g) was added and the solvent was remove in vacuo. After 2h at room temperature, the residue was taking up with ethyl acetate (40 mL) and stirred for 30 min. The eluent was concentrated and the residue was purified by column chro-matography using ethyl acetate/hexane (1/2) as eluent to af-ford 0.895 g of the desired compound.

1H-NMR (DMSO-d6) S: 1.39 (s, 9H) 3.90 - 4.20 (m, 3H), 4.80 - 4.90 (m, 1H), 4.91 (s, 2H), 6.50 6.80 (broad band for NH2, 2H), 7.30 - 7.50 (m, 5H), 7.55 - 7.60 (m, 1H).
Preparation of ((2S,3S)-3-[(tert-butoxy)carbonylamino]-1-hydroxy-4-oxoazetidin-2-yl}methyl aminooate.
((2S,3S)-3-[(tert-butoxy)carbonylamino]-4-oxo-1-(phenylmethoxy)azetidin-2-yl} methyl aminooate (0.086 g, 0.24 mmol) was dissolved in a mixture of ethyl acetate (4 mL) and methanol (4 mL) under hydrogen atmosphere at room temperature in presence of Pd/C (10 %, 25 mg). The reaction was stirred for 2 h and the mixture was filtrated over celite bed. The filtrate was evaporated in vacuo to give 0.055g of the desired compound.

1H-NMR (DMSO-d6) S: 1.39 (s, 9H), 3.95 - 4.10 (m, 3H), 4.75 - 4.80 (m, 1H), 6.45 - 6.70 (broad band for NH2, 2H), 7.57 (d, 1H, J = 6.0 Hz).

Preparation of (trimethylsilyl)-ethyl 2-((3S,4S)-3-amino-4-[(aminocarbonyloxy) methyl]-2-oxoazetidinyloxy}acetate.
The titled compound was prepared from ((2S,3S)-3-[(tert-butoxy) carbonyl amino] -1-hydroxy-4-oxoazetidin-2-yl}methyl ami-nooate according to the procedures described in J. Med. Chem.
1985, 1447 and J. Antibiotics, 1985, 813.

1H-NMR (CDC13) S: 0.02 (s, 9H), 0.99 (t, 2H, J= 8.6 Hz), 1.37 (s, 9H), 3.90 - 4.30 (m, 5H), 4.53 (dd, 2H, J = 16.4, 21.6 Hz), 4.84 (dd, 1H, J=5.4, 9.4 Hz), 6.70 - 6.40 (broad band for NH2, 2H), 7.48(d, 1H, J = 9.6 Hz,) Final assembly and deprotection steps were done similar-ly according to the method described for the example 1 and J.
Med. Chem. 1985, 1447.

Example 13 ((2S,3S)-3-((2Z)-2-(5-amino(1,2,4-thiadiazol-3-yl))-3-[(1,5-dihydroxy-4-oxo(2-hydropyridyl))methoxy]-3-azaprop-2-enoylamino}-1-(hydroxysulfonyloxy)-4-oxoazetidin-2-yl)methyl aminooate (48) The titled compound was prepared following scheme 1.
The preparation of the compound of formula A (2Z)-3-{[1,5-bis(diphenylmethoxy)-4-oxo(2-hydropyridyl)]methoxy}-2-{5-[(triphenylmethyl)amino] (1,2,4-thiadiazol-3-yl)}-3-azaprop-2-enoic acid was achieved according to the procedures described in example 1 from 2-oxo-2-{5-[(triphenylmethyl)amino](1,2,4-thiadiazol-3-yl)}acetic acid (EP-A-0 333 154 and GB-A-2102423) .
The preparation of the compound of formula B [(2S,3S)-3-amino-l-(hydroxysulfonyloxy)-4-oxoazetidin-2-yl]methyl ami-nooate was achieved according to the procedures described in J. Antibiotics 1985, 1536 from {(2S,3S)-3-[(tert-butoxy)carbonylamino]-l-hydroxy-4-oxoazetidin-2-yl}methyl ami-nooate (example 12).

Final assembly and deprotection steps were done similar-ly according to the method described for the example 1 and J.
Med. Chem. 1985, 1447.

Compound 8 was prepared in analogy to the procedures described in WO-A-02/22613. The corresponding hydroxylamine derivative (NH2-O-R4) was prepared in analogy to the procedure described in J. Med. Chem. 2004, 6349.

Compound 9 was prepared in analogy to the procedures described in WO-A-02/22613. The corresponding azetidinone ring of for-mula B was prepared in analogy to the procedures described in J. Am. Chem. Soc. 1980, 7076 and J. Org. Chem. 1982, 5160.
Compound 13 was prepared in analogy to the procedures de-scribed in WO-A-02/22613. The corresponding azetidinone ring or formula B was prepared in analogy to the procedures de-scribed in J. Antibiotics 1986, 76.

Compound 14 was prepared in analogy to the procedures de-scribed in WO-A-02/22613. The corresponding azetidinone of formula B was prepared in-analogy to the procedures described in DE-A-3229439.

Compound 15 was prepared in analogy to the procedures de-scribed in WO-A-02/22613. The corresponding heterocycle of the carboxylic acid derivative of formula A was prepared in anal-ogy to the procedures described in Russ. J. Org. Chem. 1995, 240 and J. Antibiotics 1983 1020.

Compound 16 was prepared in analogy to the procedures de-scribed in WO-A-02/22613. The corresponding heterocycle of the carboxylic acid derivative of formula A was prepared in anal-ogy to the procedures described in Z. Chem 1975, 233 and J.
Antibiotics 1983, 1020.

Compound 17 was prepared in analogy to the procedures de-scribed in WO-A-02/22613. The corresponding heterocycle of the carboxylic acid derivative of formula A was prepared in anal-ogy to the procedures described in US-A-4,394,504 and J. Anti-biotics 1983, 1020.
Compounds 18 and 19 were prepared in analogy to the procedures described in WO-A-02/22613. The corresponding heterocycles of the carboxylic acid derivatives of formula A was prepared in analogy to the procedures described in J. Am. Chem. Soc. 1959, 2452, WO-A-95/33724 and J. Antibiotics 1983, 1020 using re-spectively the methyl hydrazine and hydrazine as starting ma-terial.

Compound 20 was prepared in analogy to the procedures de-scribed in WO-A-02/22613. The corresponding heterocycle of the carboxylic acid derivative of formula A was prepared in anal-ogy to the procedures described in US-A-4,394,504 but using 2-amino-6-picoline as starting material.

Compound 24 was prepared in analogy to the procedures de-scribed in WO-A-02/22613. The corresponding azetidinone ring of formula B was prepared in analogy to the procedures de-scribed in example 13 and J. Antibiotics 1983, 1201.

Compound 25 was prepared in analogy to the procedures de-scribed in WO-A-02/22613. The corresponding azetidinone ring of formula B was prepared in analogy to the procedures de-scribed in example 13.

Compound 27 was prepared in analogy to the procedures de-scribed in WO-A-02/22613. The corresponding hydroxylamine de-rivative (NH2-0-R4) was prepared according to the synthetic scheme B-3-II.

Compound 30 was prepared in analogy to the procedures de-scribed in example 7 using the same compound of formula B and the compound of formula A described in example 13.

Compound 31 was prepared in analogy to the procedures de-scribed in example 6 using the same compound of formula B and the compound of formula A described in example 12.

Compound 32 was prepared in analogy to the procedures de-scribed in example 6 using the same compound of formula B and the compound of formula A described in example 13.
Compound 35 was prepared in analogy to the procedures de-scribed in examples 4 and 6 for preparing the compound of for-mula B and of example 13 for preparing compound of formula A.
Compound 36 was prepared in analogy to the procedures de-scribed in example 4 using the same compound of formula B and the compound of formula A described in example 12.

Compound 37 was prepared in analogy to the procedures de-scribed in example 4 using the same compound of formula B and the compound of formula A described in example 13.
Compound 38 was prepared in analogy to the procedures de-scribed in example 6 and after reduction of the N-hydroxy group to NH (J. Am. Chem. Soc. 1980, 7076), the final sulfon-ylation was performed in analogy to example 3 to obtain the compound of formula B. Procedures of example 12 were used for preparing the compound of formula A.

Compound 39 was prepared in analogy to the procedures de-scribed in example 6 and after reduction of the N-hydroxy group to NH (J. Am. Chem. Soc. 1980, 7076), the final sulfon-ylation was performed in analogy to example 3 to obtain the compound of formula B.

Compound 40 was prepared in analogy to the procedures de-scribed in example 6 and after reduction of the N-hydroxy group to NH (J. Am. Chem. Soc. 1980, 7076), the final sulfon-ylation was performed in analogy to example 3 to obtain the compound of formula B. Procedures of example 13 were used for preparing the compound of formula A.
Compound 41 was prepared in analogy to the procedures de-scribed in example 12 for preparing the compound of formula B.
Compound 43 was prepared in analogy to the procedures de-scribed in example 12 for preparing the compound of formula B.
Procedures of example 13 were used for preparing the compound of formula A.

Compound 44 was prepared in analogy to the procedures de-scribed in example 12 and J. Antibiotics 1983, 1201 for pre-paring the compound of formula B.
Compound 45 was prepared in analogy to the procedures de-scribed in example 12 and J. Antibiotics 1983, 1201 for pre-paring the compound of formula B. Procedures of example 12 were used for preparing the compound of formula A.
Compound 46 was prepared in analogy to the procedures de-scribed in example 12 and J. Antibiotics 1983, 1201 for pre-paring the compound of formula B. Procedures of example 13 were used for preparing the compound of formula A.
Compound 47 was prepared in analogy to the procedures de-scribed in example 12 for preparing the compound of formula B.
Procedures of example 12 were used for preparing the compound of formula A.

In the following table X the analytical data for all compounds of formula (I) made are presented:

4'lS

N
U) td II UI UI G 1=i co 0 w pq io N

l0 1O `~ N U) O Ln O M :4 `
U-) r- M rQ co ~4 co M v x x M N x x r x U2 x co N II 1-1 10 ' j II M
to ~-i f''1 LI) II M N '1 00 di m A
rn m r1 l0 N N Ul lY1 _` x N M ~ M l0 p ~"+ Tf m N (N m x II m L? ,7,' d= N
N 04 ^ N L [= N h d> Ol x M
a l0 N N x N
O 01 O~ II `~ cx1 L~ l0 dl N N H k0 N
CO x m to ~o II
II rd II h m x M r-1 h N
h q h h o` rn O x x v N 'd L? m o M
N xi CO -1-1 co M O x M l0 M d~
CC) Ol A N o ao 16 co l -1 40 [- a0 Ol V M

xl = b t1= d= d= m ~. d+ c I 0 M x 0 c-I t--I =R N H ~-H d+ H r-I l0 N 4-I (y), N 44 H -I
rl rra! rs~a _ l0 N Q
L
o a U A
H

H

a L) m L_ r- CD n r N N N N CD 01 co co 00 x r ~li cr d~ r m r N , O M i--1 1/. _! g 00 x r, co r- r- CO
o Zi rd ~4 N m v Ln n] r O

N m -I . -I C p r-I Ln m H m H M H
M
N 0) .~ ) r cy) _ Ul r 0) -to N II N N N N rx-I N I I
CLl x x x a%
N N 00 H N O H N p N N.
x l0 'x to Ul r l0 v l0 '~' II II II II II II
'ci x ~: x x x x h N h N cI h N ~t h N r h N 01 }] N

Ln x ,., x x u) 1 cxn N M r rl O N C) N d~ h r H
~M M m ld M N U) m In v Ln UI v Lf) U) ..' LO Ln b v II) e-I H H (~ H
clq a) 14 0 04 r l H H r 1 ~-1 c-I r I c I ~-I l I c I rl M I)1 l0 r H N
H c-1 M ` h O dl m It ri ui i~ 00 co ui r- in x LA
w H x rn H
.1'i' 10 Zj EE d~ rx-I ~ ~ ~ to CO dl N
h I rl ui v x Ln N rxI rxi Ln 'x =~~' N dr v I Ql N w it CO Ln l0 LO ' 1 x f-I 00 - M xi rx-I Ln x .-1 00 LLnn ` =~ l0 N L r1 cN r-I C N =~ N
M N M N x l'M '~H d~ xi C) 00 Ln C'V x N d~ xi xi d; N xi Ql co Ln N II 1 N 0 O= o L N c-I Lyl N CO
N N N M h N l0 N II 1 N tll Ln W it = Ln = =o ., II h -i II `" x 11 II II x 1O x II x to N
h h h N N v M .-I h N to 0D '~ x m N x o x N rci x z3 x A
M l0 M M 11 M M l0 r4 cri 00 N 00 r 00 -10 O N

N M L. rci ri r-1 c-1 H
N . 00 . M M .--1 Ln m r~ [- m In r I c-I H r-I ri r-I H in rl N M H r-I " rl ri 1~zp H
00 rn O
r-I H N
H N M
N N N

H
co co N 00 N H N N N V co II r" H di v d di ui h N v N c-i O r-I
r o O `~= II 1,4 to H H I H
c) Co A I x x O H E N N N
r~ co H M
O N
M .. UI W i N l0 .. O

N m ti a%
4 x M .,v r-I 11 M R ~...1 xi N rx1 l0 r` ``Ti' v .~ U1 r ^
O H
Ij CD
H. N
W ~. x x. 7f 00 N 00 N l0 V:I1 N - N ) v LO lD l0 O mot, U] d N o) II II
OD x x p: b N O M .--I F) N 4 r al N l0 d~ N M ~+ M x M 01 M
M N H [- N
N v l0 N N ` a0 Cl c ,.~
AC 1 x I I = 1) U) Lo - to N x O -4 to C) C) N OD . 00 00 N d~ co H N II N M -- O M x x m N
I I d~ to d~ io N h r I x I N 00 . I ' i N I
In N co O
N N N N M
Lb Ol 44 d in N N o L.n h dr O 00 oo o d co rd co N N H i0 ~' N v r-1 ' II 11 it 01 d~ N
I I 11 Ln h h N h x zS h rn h x rn ~-1 N N N
(0 r-I A r-I N c Ln N N x N ul H N H

L N N FC N
N UI Ai M (!1 N x x 'o Ln LO LO

` O1 \ l0 01 ~1 O
H r N 11 `~ II ~, N N N oo N M

ui h x N h x v h x N r .;
N
N x M C`~-I (h Ol s-1 M N 00 M N N m Q1 x ~0 to aD Ul ` II (0 II ` 11 N

co L[1 d x d x v x R d= 11 N =-1 N H N -I r i ~-1 rl , 1 c 1 h 0) N N 00 N
cz:l 'Cj x ro rn x x v M x M M M N N rn N N M
rl-co 00 N H , in b N l0 ' lp U1 N u1 Ul N x x II N x II
N I~ 'i h N h N 00 rI M M d~ H

N N 00 H x II rl ',IN, rx-I c-I ,'i N N x H ~-I
~-I N M in l0 M M M M M M

Ale) L c-I N L~
II
N c-1 II II II in di o\ ''d N ,-{

N CNI in ` '~ LI x I M O
N A v h O N M c-I
c I d' Ln I Rj rd rd o ~+ rd 00 co N N LO co C, r-i N .. M N d~ .~.'. t` d~ x h v-I Lfl N 01 M
co xi N 'rTi' v h x Ul xi '~+
to O N lD cx-1 M M M
N
N r-4 cr- 1-4 rn o rb co o -i W N F! LA 00 r N II clq N '-i ao h N O
to O
S I I I d' In = ' d' LI1 CD
N "Q II h .x-1 N "-I' r-1 N r! r-I N x o0 r-I 1,41 Ali 'd; x ~"i 1.11 Ol Ro cx N M tx M l0 H 0 N
-4 Ln N N ppq~ m N Ln N l0 co LD
11 `d R o '7'' c!1 rd N d d, x ~. m Ln Ln Ln - in rn I I
N N ~' = l0 Ln Ln O l0 O N
d' 111 L~ N m N N N t11 M to N
~x-I N ~xi ~-+ d~ H a H x N r l 1 '~ H x M M d' N x N co m CD H
M M M

Cl 0 Ln rn ) (i u w u ~
N H rx-I h h O 00 Cl 0J l M
dr N '-{ 01 H O
~M x ~+' ~" to lf; H to `~
N Cl Ln d ¾S
Ol O N x x x x x Cl .-4 N H Cl H N lD
r, 00 d+ .
N M x x N 01 01 Ln E- r-4 r- ~4 N O N
N N dr .-^xl N to In `
M
Ln r- o x h x x w N N to x ~-i I M r-1 I
01 II rY=
r) N rn h r-I
0 0 o '.o x a~ d. w `Y co Ul x x N - lD l0 Cl 0) N N `
N d~ N N N
N raj N rx1 N
LI) M L() O l0 M
r") cH Fi Ln N dr rn 1 d~ O I l0 N L[ t` N - Ul oo N
N H x x N
o Ln ko u. Ln M ,-I C) r -M N I M dr N 00 dr r-I .-I H N
N M
dr d~

=d~ d' Example 14 (iS,5R)-2-[2-(3-carbamoyl-6-methylpyridinium)acetyl]-7-oxo-2,6-diazabicyclo[3.2.0]heptane-6-sulfonate, inner salt (111) The titled compound was prepared following scheme 11.
a) Preparation of 5-carbamoyl-l-carboxymethyl-2-methyl-pyridinium bromide A solution of 6-methyl nicotinamide (400 mg, 2.94 mmol, 1.0 eq) and bromoacetic acid (408 mg, 2.94 mmol, 1.0 eq) in DMF (10 mL) was stirred at room temperature for 6 days. The reaction mixture was monitored by LCMS. Solvent was then evaporated and the crude product was purified by preparative HPLC to afford 136 mg of the expected compound.

1H-NMR (DMSO-d6) 5 (ppm) : 2.80 (s, 3H); 5.66 (s, 2H) 8.13 (s, 1H) ; 8.24 (d, J = 8.3, 1H) ; 8.53 (s, 1H) ; 8.92 (dd, J = 1.8 and 8.3, 1H); 9.47 (s, 1H).
b) (1S,5R)-2-[2-(3-carbamoyl-6-methylpyridin-ium)acetyl]-7-oxo-2,6-diazabicyclo[3.2.0]heptane-6-sulfonate, inner salt (111) 5-carbamoyl-l-carboxymethyl-2-methyl-pyridinium bromide (91 mg, 0.47 mmol, 1.0 eq) was added at room temperature to a stirred solution of (1S,5R)-7-oxo-2,6-diazabicy-clo(3.2.0]heptane-6-sulfonic acid (J. Med. Chem. 1998, 3961) (90 mg, 0.47 mmol, 1.0 eq) in DMSO (4 mL), followed by 1-hy-droxybenzotriazol (69 mg, 0.52 mmol, 1.1 eq), dicyclohexyl-carbodiimide (106 mg, 0.52 mmol, 1.1 eq) and diisopro-pylethylamine (96 L, 0.56 mmol, 1.2 eq). After stirring overnight at room temperature, the reaction mixture was fil-tered. The mother liquid was evaporated and the crude.product was dissolved in CH2C12 (4 mL) and filtered. The resulting solid was purified by preparative HPLC to afford 46 mg of the expected compound.

1H-NMR (DMSO-d6) S (ppm): 1.82 (m, 1H); 2.42 (m, 1H);
2.73 (d, J = 5.3, 3H); 3.25 and 3.55 (.2m, 1H); 4.05 (m, 1H);
4.40 and 4.62 (2t, J = 4.7, 1H); 5.19 and 5.31 (2d, J = 4.3, 1H); 5.55-6.05 (AB part of a ABX system, the X part being in the 15N spectrum, 2H); 8.12 (d, J = 7.0, 1H); 8.22 (d, J =
8.3, 1H); 8.53 (d, J = 10.0, 1H); 8.89 (dd, J = 1.8 and 8.3, 1H); 9.36 (dd, J = 1.8 and 10.0, 1H).

Example 15 (13,5R)-2-(2-[3-(N-methylcarbamoyl)pyridinium]acetyl}-7-oxo-2,6-diazabicyclo[3.2.0]heptane-6-sulfonate, inner salt (101) The titled compound was prepared following scheme 11 and in analogy to example 14 using (1S,5R)-7-oxo-2,6-diazabicy-clo[3.2.0]heptane-6-sulfonic acid (compound H) and the com-mercially available N-methyl nicotinamide as starting materi-als.
+ESI-MS spectrum: m/z: 289 [M+H-S03)4.
Example 16 (1S,5R)-2-[2-(4-aminopyridinium)acetyl]-7-oxo-2,6-di-azabicyclo[3.2.0]heptane-6-sulfonate, inner salt (103) The titled compound was prepared following scheme 11 and in analogy to example 14 using (1S,5R)-7-oxo-2,6-diazabicy-clo[3.2.0]heptane-6-sulfonic acid (compound H) and the com-mercially available 4-aminopyridine as starting materials.
+ESI-MS spectrum: m/z: 326 [M]'.
Example 17 (1S,5R)-2-(2-(2-isoquinolinium)acetyl)-7-oxo-2,6-di-azabicyclo[3.2.0]heptane-6-sulfonate, inner salt (104) The titled compound was prepared following scheme 11 and in analogy to example 14 using (1S,5R)-7-oxo-2,6-diazabicy-clo[3.2.0]heptane-6-sulfonic acid (compound H) and the com-mercially available isoquinoline as starting materials.
-ESI-MS spectrum: m/z: 360 [M-1]+.
Example 18 (13,5R)-2-[2-(4-carbamoylpyridinium)acetyl]-7-oxo-2,6-diazabicyclo[3.2.0] heptane-6-sulfonate, inner salt (105) The titled compound was prepared following scheme 11 and in analogy to example 14 using (1S,5R)-7-oxo-2,6-diazabicy-clo[3.2.0]heptane-6-sulfonic acid (compound H) and the com-mercially available isonicotinamide as.starting materials.

1H-NMR (DMSO-d6): 1.78 (m, 1H); 2.40 (m, 1H); 3.20 and 3.50 (2m, 1H); 4.05 and 4.12 (2m, 1H); 4.43 and 4.60 (2t, J =
4.7, 1H); 5.21 and 5.29 (2d, J = 4.3, 1H); 5.55-6.00 (AB part of a ABX system, the X part being in the 7'5N spectrum, 2H);
8.27 (m, 1H); 8.46 (m, 2H); 8.65 (m, 1H); 9.12 (m, 2H).

Example 19 (1S,5R)-7-oxo-2-(2-(2-5,6,7,8-tetrahydroisoquinolin-ium)acetyl)-2,6-diazabicyclo[3.2.0]heptane-6-sulfonate, inner salt (106) The titled compound was prepared following scheme 11 and in analogy to example 14 using (1S,5R)-7-oxo-2,6-diazabicy-clo[3.2.0)heptane-6-sulfonic acid (compound H) and the com-mercially available 5,6,7,8-tetrahydroisoquinoline as start-ing materials.
+ESI-MS spectrum: m/z: 365 [M] +.
Example 20 (lS,5R)-2-[2-(3-aminopyridinium)acetyl]-7-oxo-2,6-di-azabicyclo[3.2.0]heptane-6-sulfonate, inner salt (107) The titled compound was prepared following scheme 11 and in analogy to example 14 using (1S,5R)-7-oxo-2,6-diazabicy-clo[3.2.0]heptane-6-sulfonic acid (compound H) and the com-mercially available 3-aminopyridine as starting materials.
+ESI-MS spectrum: m/z: 326 [M] +.

Example 21 (1S,5R)-2-(2-(3-(N-(carbamoyl-methyl) carbamoyllpyridinium)acetyl)-7-oxo-2,6-diazabicy-clo[3.2.0]heptane-6-sulfonate, inner salt (108) The titled compound was prepared following scheme 11 and in analogy to example 14 using (1S,5R)-7-oxo-2,6-diazabiCy-clo[3.2.0]heptane-6-sulfonic acid (compound H) and 3-[N-(car-bamoylmethyl) carbamoyl]pyridine as starting materials.
+ESI-MS spectrum: m/z: 411 (M]"'.

3-[N-(carbamoylmethyl)carbamoyl]pyridine was prepared by reacting the commercially available nicotinyl chloride hydro-chloride with glycinamide hydrochloride.

Example 22 (1S,5R)-2-{2-[3-(N-cyclopropylcar-bamoyl)pyridinium]acetyl}-7-oxo-2,6-diazabicy-clo[3.2.01heptane-6-sulfonate, inner salt (109) The titled compound was prepared following scheme 11 and in analogy to example 14 using (1S,5R)-7-oxo-2,6-diazabicy-clo[3.2.0]heptane-6-sulfonic acid (compound H) and the com-mercially available nicotinoyl chloride hydrochloride and cyclopropylamine as starting materials.
lH-NMR (DMSO-d6): 0.60 (m, 2H); 0.78 (m, 2H); 1.77 (m, 1H); 2.40 (m, 1H); 2.92 (m, 1H); 3.23 and 3.50 (2m, 1H); 4.01 and 4.10 (2m, 1H); 4.41 and 4.61 (2t, J= 4.7, 1H); 5.20 and 5.29 (2d, J = 4.3, 1H); 5.58-6.05 (AB part of a ABX system, the X part being in the 15N spectrum, 2H); 8.30 (m, 1H); 8.95 (m, 1H); 9.01-9.13 (m, 2H); 9.36 (m, 1H).

Example 23 (1S,5R)-2-{2-[4-(dimethylamino)pyridinium]acetyl}-7-oxo-2,6-diazabicyclo(3.2.0]heptane-6-sulfonate, inner salt (112) The titled compound was prepared following scheme 11 and in analogy to example 14 using (1S,5R)-7-oxo-2,6-diazabicy-clo[3.2.0]heptane-6-sulfonic acid (compound H) and the com-mercially available 4-(dimethylamino)pyridine as starting ma-terials.
1H-NMR (DMSO-d6): 1.22 (s, 3H); 1.26 (s, 3H); 1.74 (m, 1H); 2.38 (m, 1H); 3.20-3.50 (m, 1H); 3.98 and 4.08 (2dd, J =

8.6 and 11.2, 1H); 4.38 and 4.48 (2t, J = 4.7, 1H); 5.00-5.45 (m, 3H); 7.02 and 7.07 (2d, J = 7.9, 2H); 8.11 and 8.16 (2d, J = 7.9, 2H).
Example 24 2-(2-(3-[N-((3S)pyrrolidin-3-yl)carbamoyl]pyridinium}acetyl)(is,5R)-7-oxo-2,6-diazabicY-clo[3.2.0]heptane-6-sulfonate, inner salt (122) Preparation of sodium (1S,5R)-2-(2-bromoacetyl)-7-oxo-2, 6-diazabicyclo[3.2.0] heptane-6-sulfonate A solution of sulphur trioxide.DMF complex (4.92 g, 32.10 mmol, 1.5 eq) in DMF (10 mL) was added at 0 C to a stirred solution of (5S,1R)-4-(2-bromoacetyl)-4,7-diazabicy-clo[3.2.0]heptan-6-one (compound F, 5.25 g, 21.40 mmol, 1.0 eq) in DMF (110 mL). After 5 hours stirring at 0 C, the re-action mixture was concentrated. The remaining oil was dis-solved in a minimum amount of H2O and the pH was adjusted to 6 with saturated NaHCO3 solution. The mixture was then con-centrated under reduced pressure to afford 8.3 g of the ex-pected sodium (1S,5R)-2-(2-bromoacetyl)-7-oxo-2,6-diazabicy-clo[3.2.0]heptane-6-sulfonate as a brown oil.

Preparation of tert-butyl (3S)-3-(3-pyridylcarbonyl-amino)pyrrolidinecarboxylate Nicotinoyl chloride hydrochloride (286 mg, 1.61 mmol, 1.0 eq) was added at room temperature to a stirred solution of (S)-3-amino-l-N-BOC-pyrrolidine (300 mg, 1.61 mmol, 1.0 eq) in CH2C12 (9 ML), followed by triethylamine (337 L, 2.42 mmol, 1.5 eq). After stirring overnight at room temperature, the reaction mixture was extracted and the organic layer was dried over Na2SO4, filtered and evaporated to afford 457 mg of the expected compound.

Preparation of 2-{2-[3-(N-{(3S)-1-[(tert-bu-tyl)oxycarbonyl]pyrrolidin-3-yl}carbamoyl)pyridinium]acetyl}(1S,5R)-7-oxo-2,6-diazabicy-clo[3.2. 0]heptane-6-sulfonate, inner salt A solution of (1S,5R)-2-(2-bromoacetyl)-7-oxo-2,6-di-azabicyclo[3.2.0]heptane-6-sulfonic acid (200 mg, 0.64 mmol, 1.0 eq) and tert-butyl (3S)-3-(3-pyridylcarbonyl-amino)pyrrolidinecarboxylate (149 mg, 0.51 mmol, 0.8 eq) in DMF (2 mL) was stirred at room temperature for 3 days. The reaction was monitored by LCMS. Then DMF was evaporated to afford 330 mg the expected crude product which was directly used in the next step.

Preparation of 2-(2-{3-[N-((3S)pyrrolidin-3-yl)carbamoyl]pyridinium}acetyl)-(1S,5R)-7-oxo-2,6-diazabicy-clo[3.2.0]heptane-6-sulfonate, inner salt (122) A solution of 2-{2-[3-(N-{(3S)-l-[(tert-bu-tyl)oxycarbonyllpyrrolidin-3-yl}carbamoyl)pyridinium]acetyl}(1S,5R)-7-oxo-2,6-diazabicy-clo[3.2.0]heptane-6-sulfonate, inner salt in DMF (4 mL) was cooled to 0 C before the addition of trifluoroacetic acid (729 L, 9.45 mmol, 15.0 eq). After stirring overnight at room temperature, the reaction mixture was concentrated and the crude was purified by preparative HPLC to afford 37 mg of the expected compound.

1H-NMR (DMSO-d6): 1.80 (m, 1H); 2.05 (m, 1H); 2.23 (m, 1H); 2.40 (m, 1H); 3.33 (m, 5H); 4.01 and 4.10 (2m, 1H); 4.13 and 4.61 (2t, j = 4.7, 1H); 4.56 (m, 1H); 5.18 and 5.30 (2d, J = 4.1, 1H); 5.60-6.05 (AB part of an ABX system, the X part being in the 15N spectrum, 2H); 8.35 (m, 1H); 9.07 (m, 3H);
9.38 (m, 1H); 9.44 (s, 1H).

Example 25 (1S,5R)-2-[2-(3-carbamoylpyridinium)acetyl]-7-oxo-2,6-diazabicyclo[3.2.0]heptane-6-sulfonate, inner salt (102) The titled compound was prepared following scheme 11 and in analogy to example 24 using (5S,1R)-4-(2-bromoacetyl)-4,7-diazabicyclo[3.2.0]heptan-6-one (compound F) which was first sulfonated (J. Org. Chem. 1982, 5160) and the commercially available nicotinamide as starting materials.

1H-NMR (DMSO-d6): 1.78 (m, 1H) ; 2.40 (m, 1H); 3.23 and 3.50 (2m, 1H); 4.03 and 4.13 (2dd, J = 8.6 and 11.0, 1H);
4.42 and 4.63 (2t, J = 4.7, 1H); 5.20 and 5.32 (2d, J = 4.3, 1H); 5.55-6.05 (AB part of a ABX system, the X part being in the 15N spectrum, 2H); 8.18 (d, J = 3.7, 1H); 8.33 (q, J =
6.2 and 7.9, 1H); 8.57 and 8.62 (2s, 1H); 9.02-9.12 (m, 2H);
9.42 (d, J = 6.5, 1H).
Example 26 (1S,SR)-2-[2-(3,4-dicarbamoylpyridinium)acetyl]-7-oxo-2,6-diazabicyclo[3.2.0]heptane-6-sulfonate, inner salt (110) The titled compound was prepared following scheme 11 and in analogy to example 24 using (5S,lR)-4-(2-bromoacetyl)-4,7-diazabicyclo[3.2.07heptan-6-one (compound F) which was first sulfonated (J. Org. Chem. 1982, 5160) and the commercially available 3,4-pyridine dicarboxamide as starting materials.

1H-NMR (DMSO-d6): 1.74 (m, 1H); 2.40 (m, 1H); 3.25 and 3.49 (2m, 1H); 4.03 and 4.11 (2m, 1H); 4.41 and 4.62 (2t, J =
4.7, 1H); 5.22 and 5.29 (2d, J = 4.3, 1H); 5.55-6.00 (AB part of a ABX system, the X part being in the 15N spectrum, 2H);
8.04 (m, 1H); 8.14 (d, J = 10.8, 1H) ; 8.24 (m, 2H) ; 8.45 (d, J = 9.1, 1H); 9.10 (m, 1H); 9.24 (2s, 1H) Example 27 (1S,5R)-2-{2-[4-(isopropyl)pyridinium]acetyl}-7-oxo-2,6-diazabicyclo[3.2.0] heptane-6-sulfonate, inner salt (113) The titled compound was prepared following scheme 11 and in analogy to example 24 using (5S,1R)-4-(2-bromoacetyl)-4,7-diazabicyclo[3.2.0]heptan-6-one (compound F) which was first sulfonated (J. Org. Chem. 1982, 5160) and the commercially available 4-isopropyl pyridine as starting materials.
1H-NMR (DMSO-d6): 1.28 and 1.30 (2d, J = 2.3, 6H); 1.77 (m, 1H); 2.42 (m, 1H); 3.10-3.55 (m, 2H); 4.00 and 4.10 (2m, 1H); 4.40 and 4.60 (2t, LT= 4.7, 1H); 5.19 and 5.29 (2d, J=
4.2, 1H); 5.45-5.90 (AB part of a ABX system, the X part be-ing in the 15N spectrum, 2H); 8.11 (m, 2H); 8.81 (d, J = 6.7, 1H); 8.87 (d, J = 7.1, 1H).

Example 28 (13,58)-2 -{2-[3-(methoxycarbonyl)-5-methylpyridin-ium]acetyl}-7-oxo-2,6-diazabicyclo[3.2.0]heptane-6-sulfonate, inner salt (114) The titled compound was prepared following scheme 11 and in analogy to example 24 using (5S,1R)-4-(2-bromoacetyl)-4,7-diazabicyclo[3.2.0]heptan-6-one (compound F) which was first sulfonated (J. Org. Chem. 1982, 5160) and the commercially available methyl-5-methylnicotinate as starting materials.
1H-NMR (DMSO-d6): 1.77 (m, 1H); 2.41 (m, 1H); 2.58 (d, J
5.9, 3H); 3.24 and 3.49 (2m, 1H); 3.98 (d, J = 2.5, 3H);
4.02 and 4.12 (2m, 1H); 4.41 and 4.61 (2t, j = 4.7, 1H); 5.20 and 5.29 (2d, J = 4.3, 1H); 5.55-6.00 (AB part of a ABX sys-tem, the X part being in the 15N spectrum, 2H); 8.95 (m, 1H);
9.06 and 9.15 (2s, 1H); 9.41 and 9.45 (2s, 1H).

Example 29 (13,5R)-2-(2-[3-(methoxycarbonyl)-2-methylpyridin-ium]acetyl}-7-oxo-2,6-diazabicyclo(3.2.0]heptane-6-sulfonate,-inner salt (115) The titled compound was prepared following scheme 11 and in analogy to example 24 using (5S,1R)-4-(2-bromoacetyl)-4,7-diazabicyclo[3.2.0]heptan-6-one (compound F) which was first sulfonated (J. Org. Chem. 1982, 5160) and the commercially available 2-methyl nicotinic acid methyl ester as starting materials.

1H-NMR (DMSO-d6): 1.82 (m, 1H); 2.40 (m, 1H); 2.81 (d, J
2.8, 3H); 3.29 and 3.57 (2m, 1H); 3.96 (s, 3H); 4.06 (m, 1H); 4.40 and 4.62 (2t, J = 4.8, 1H); 5.20 and 5.34 (2d, J =
4.3, 1H); 5.65-6.05 (AB part of a ABX system, the X part be-ing in the 15N spectrum, 2H); 8.17 (m, 1H); 8.91 (m, 1H);
9.08 (m, 1H).

Example 30 (13,5R)-2-{2-[3-(methoxycarbonyl)pyridinium] acetyl}-7-oxo-2,6-diazabicyclo[3.2.0]heptane-6-sulfonate, inner salt (116) The titled compound was prepared following scheme 11 and in analogy to example 24 using (5S,1R)-4-(2-bromoacetyl)-4,7-diazabicyclo[3.2.0]heptan-6-one (compound F) which was first sulfonated (J. Org. Chem. 1982, 5160) and the commercially available 3-carboxypyridine methyl ester as starting materi-als.

1H-NMR (DMSO-d6): 1.80 (m, 1H); 2.39 (m, 1H); 3.22 and 3.52 (2m, 1H); 3.98 (d, J = 2.3, 3H); 4.01 and 4.12 (2m, 1H);
4.41 and 4.61 (2t, J = 4.7, 1H); 5.20 and 5.29 (2d, LT= 4.2, 1H); 5.65-6.05 (AB part of a ABX system, the X part being in the 15N spectrum, 2H); 8.35 (m, 1H); 9.07 (m, 1H); 9.13 and 9.21 (2m, 1H); 9.57 and 9.62 (2s, 1H); 12.75 (br, 1H).
Example 31 (13,5R)-7-oxo-2-(2-(4-propanoylpyridinium)acetyl]-2,6-diazabicyclo[3.2.0]heptane-6-sulfonate, inner salt (117) The titled compound was prepared following scheme 11 and in analogy to example 24 using (5S,1R)-4-(2-bromoacetyl)-4,7-diazabicyclo[3.2.0]heptan-6-one (compound F) which was first sulfonated (J. Org. Chem. 1982, 5160) and the commercially available 4-propionyl pyridine as starting materials.

1H-NMR (DMSO-d6): 1.13 (dt, J = 2.5 and 7.1, 3H) ; 1.80 (m, 1H); 2.41 (m, 1H); 3.15-3.55 (m, 3H); 4.02 and 4.11 (2dd, J = 8.8 and 11.1, 1H); 4.41 and 4.61 (2t, J = 4.7, 1H); 5.20 and 5.29 (2d, J = 4.3, 1H); 5.60-6.05 (AB part of a ABX sys-tem, the X part being in the 15N spectrum, 2H); 8.53 and 8.56 (2d, J = 7.1, 2H) ; 9.11 and 9.18 (2d, J = 7.1, 2H).

Example 32 (1S,5R)-2-{2-[4-(aminothioxomethyl)pyridinium]acetyl)-7-oxo-2,6-diazabicyclo[3.2.0]heptane-6-aulfonate, inner salt (118) The titled compound was prepared following scheme 11 and in analogy to example 24 using (5S,1R)-4-(2-bromoacetyl)-4,7-diazabicyclo[3.2.0]heptan-6-one (compound F) which was first sulfonated (J. Org. Chem. 1982, 5160) and the commercially available 4-pyridine carbothioamide as starting materials.
1H-NMR (DMSO-d6): 1.79 (m, 1H); 2.39 (m, 1H); 3.24 and 3.49 (2m, 1H); 4.00 and 4.10 (2m, 1H) ; 4.41 and 4.61 (2t, J =
4.7, 1H); 5.21 and 5.28 (2d, J = 4.3, 1H); 5.55-5.95 (AB part of a ABX system, the X part being in the 15N spectrum, 2H);
8.28 (dd, J = 6.8 and 10.8, 2H); 8.96 and 9.02 (2d, J = 6.8, 2H); 10.31 and 10.74 (2br, 2H); 12.7 (br, 1H).
Example 33 (1S,5R)-2-(2-(3-[(ethoxycar-bonyl)methyl]pyridinium)acetyl)-7-oxo-2,6-diazabicy-clo[3.2.0]heptane-6-sulfonate, inner salt (119) The titled compound was prepared following scheme 11 and in analogy to example 24 using (5S,1R)-4-(2-brombacetyl)-4,7-diazabicyclo[3.2.0]heptan-6-one (compound F) which was first sulfonated (J. Org. Chem. 1982, 5160) and the commercially available ethyl-3-pyridyl acetate as starting materials.
1H-NMR (DMSO-d6) : 1.22 (dt, J = 0.9 and 7.1, 3H) 1.75 (m, 1H); 2.41 (m, 1H); 3.22 and 3.49 (2m, 1H); 4.05 (m, 3H);
4.15 (dq, J = 0.9 and 7.1, 2H); 4.40 and 4.61 (2t, J = 4.6, 1H); 5.20 and 5.30 (2d, J = 4.3, 1H); 5.50-5.95 (AB part of a ABX system, the X part being in the 15N spectrum, 2H); 8.19 (m, 1H); 8.61 (m, 1H); 8.87 and 8.92 (2m, 1H); 8.89 and 8.97 (2s, 1H).

Example 34 (1S,5R)-7-oxo-2-{2-[3-(trifluoro-methyl)pyridinium]acetyl}-2,6-diazabicyclo[3.2.0]heptane-6-sulfonate, inner salt (120) The titled compound was prepared following scheme 11 and in analogy to example 24 using (5S,1R)-4-(2-bromoacetyl)-4,7-diazabicyclo[3.2.0]heptan-6-one (compound F) which was first sulfonated (J. Org. Chem. 1982, 5160) and the commercially available 3-(trifluoromethyl)pyridine as starting materials.
1H-NMR (DMSO-d6): 1.80 (m, 1H); 2.40 (m, 1H); 3.24 and 3.51 (2m, 1H); 4.04 and 4.12 (2m, 1H); 4.42 and 4.62 (2t, LT=
4.7, 1H); 5.21 and 5.29 (2d, J = 4.1, 1H); 5.65 - 6.05 (AB
part of a ABX system, the X part being in the 15N spectrum, 2H) ; 8.47 (m, 1H); 9.17 (m, 1H); 9.24 and 9.30 (2d, J = 6.2, 1H); 9.67 and 9.76 (2s, 1H); 12.7 (br, 1H).

Example 35 (1S,5R)-2-[2-(3,4-dimethylpyridinium)acetyl]-7-oxo-2,6-diazabicyclo[3.2.0] heptane-6-sulfonate, inner salt (121) The titled compound was prepared following scheme 11 and in analogy to example 24 using (5S,1R)-4-(2-bromoacetyl)-4,7-diazabicyclo[3.2.0]heptan-6-one (compound F) which was first sulfonated (J. Org. Chem. 1982, 5160) and the commercially available 3,4-lutidine as starting materials.
1H-NMR (DMSO-d6) : 1.78 (m, 1H); 2.40 (d, J = 3.7, 3H);
2.47 (m, 1H); 2.55 (d, J = 3.6, 3H); 3.21 and 3.49 (2m, 1H);
4.06 (m, 1H); 4.40 and 4.60 (2t, LT= 4.7, 1H); 5.20 and 5.28 (2d, J = 4.3, 1H); 5.40-5.85 (AB part of a ABX system, the X
part being in the 15N spectrum, 2H); 7.97 (m, 1H); 8.70 (m, 2H).

Example 36 (1S,5R)-7-oxo-2-{2-[3-benzylpyridinium]acetyl}-2,6-di-azabicyclo[3.2.0]heptane-6-sulfonate, inner salt (123) The titled compound was prepared following scheme 11 and in analogy to example 24 using (5S,1R)-4-(2-bromoacetyl)-4,7-diazabicyclo[3.2.0]heptan-6-one (compound F) which was first sulfonated (J. Org. Chem. 1982, 5160) and the commercially available 3-benzylpyridine as starting materials.

1H-NMR (DMSO-d6): 1.78 (m, 1H); 2.40 (m, 1H) ; 3.21 and 3.41 (2m, 1H); 4.01 and 4.10 (2m, 1H); 4.21 (d, J = 7.3, 2H);
4.40 and 4.60 (2t, LT= 4.7, 1H); 5.20 and 5.28 (2d, LT= 4.2, 1H); 5.50-5.95 (AB part of a ABX system, the X part being in the 15N spectrum, 2H); 7.31 (m, 5H); 8.12 (m, 1H); 8.55 (t, J

7.6, 1H); 8.80 and 8.85 (2d, J = 6.3, 1H); 8.90 and 9.00 (2s, 1H) .
Example 37 (1S,5R)-7-oxo-2-[2-(3-phenylpyridinium)acetyl]-2,6-di-azabicyclo[3.2.0]heptane-6-sulfonate, inner salt (124) The titled compound was prepared following scheme 11 and in analogy to example 24 using (5S,1R)-4-(2-bromoacetyl)-4,7-diazabicyclo[3.2.0]heptan-6-one (compound F) which was first sulfonated (J. Org. Chem. 1982, 5160) and the commercially available 3-phenyl pyridine as starting materials.

1H-NMR (DMSO-d6): 1.80 (m, 1H); 2.40 (m, 1H); 3.23 and 3.51 (2m, 1H); 4.10 (m, 1H); 4.42 and 4.62 (2t, J = 4.7, 1H);
5.21 and 5.33 (2d, J = 4.2, 1H); 5.60-6.00 (AB part of a ABX
system, the X part being in the 15N spectrum, 2H); 7.62 (m, 3H); 7.88 (m, 2H); 8.28 (m, 1H); 8.93 (2d, J = 6.3, 1H); 8.99 (m, 1H); 9.41 and 9.48 (2s, 1H).
Example 38 2-(2-(3-(N-((3R)pyrrolidin-3-yl)carbamoyl]pyridinium}acetyl)(is,5R)-7-oxo-2,6-diazabicy-clo[3.2.0]heptane-6-sulfonate, inner salt (125) The titled compound was prepared following scheme 11 and in analogy to example 24 using (5S,1R)-4-(2-bromoacetyl)-4,7-diazabicyclo[3.2.0]heptan-6-one (compound F) which was first sulfonated (J.= Org. Chem. 1982, 5160) and the commercially available nicotinoyl chloride hydrochloride and (R)-3-amino-1-N-BOC-pyrrolidine as starting materials.
+ESI-MS spectrum: m/z: 423 [M)+.

Example 39 (1S,5R)-2-[2-(4-amino-3-carbamoylpyridinium)acetyl]-7-oxo-2, 6-diazabicyclo[3.2.0]heptane-6-sulfonate, inner salt (126) The titled compound was prepared following scheme 11 and in analogy to example 24 using (5S,1R)-4-(2-bromoacetyl)-4,7-diazabicyclo[3.2.0]heptan-6-one (compound F) which was first sulfonated (J. Org. Chem. 1982, 5160) and a the commercially available 4-amino-3-pyridinecarboxamide as starting materi-als.

1H-NMR (DMSO-d6): 1.75 (m, 1H); 2.40 (m, 1H); 3.22 and 3.45 (2m, 1H); 4.01 and 4.10 (2dd, J = 8.6 and 11.3, 1H);
4.40 and 4.60 (2t, J = 4.8, 1H); 4.95-5.50 (m, 3H) ; 7.03 (dd, J = 7.4 and 9.4, 1H); 7.83 (br, 1H); 8.05 (m, 1H); 8.15 (br, 1H); 8.65 (m, 1H); 8.99 and 9.04 (2br, 2H).

Example 40 (1S,5R)-2-[2-(3-carbamoyl-5-methylpyridinium)acetyl]-7-oxo-2,6-diazabicyclo[3.2.01 heptane-6-sulfonate, inner salt (127).

The titled compound has been prepared following scheme 11 and in analogy to example 24 using (5S,1R)-4-(2-bromoace-tyl)-4,7-diazabicyclo[3.2.0]heptan-6-one (compound F) which was first sulfonated (J. Org. Chem. 1982, 5160) and the com-mercially available 5-methyl nicotinamide as starting materi-als.

1H-NMR (DMSO-d6) : 1.78 (m, 1H); 2.39 (m, 1H) 2.54 (m, 3H); 3.23 and 3.49 (2m, 1H); 4.05 (m, 1H); 4.41 and 4.61 (2t, J = 4.7, 1H); 5.20 and 5.29 (2d, J = 4.3, 1H); 5.50-6.00 (AB
part of a ABX system, the X part being in the 15N spectrum, 2H); 8.52 (d, J = 16.0, 1H); 8.89 (d, J = 7.2, 1H); 8.95 and 9.04 (2s, 1H) ; 9.24 (m, 2H) ; 12.6 (br, 1H).

Example 41 (1S,5R)-2-(2-[3-(aminocarbonylamino)pyridinium]acetyl) -7-oxo-2,6-diazabicyclo[3.2.0]heptane-6-sulfonate, inner salt (128).
The titled compound has been prepared following scheme 11 and in analogy to example 24 using (5S,1R)-4-(2-bromoace-tyl)-4,7-diazabicyclo[3.2.0]heptan-6-one (compound F) which was first sulfonated (J. Org. Chem. 1982, 5160) and 3-pyridylcarbamide.

1H-NMR (DMSO-d6): 1.78 (m, 1H); 2.40 (m, 1H); 3.23 and 3.49 (2m, 1H); 3.98 and 4.10 (2m, 1H); 4.40 and 4.59 (2t, LT=
4.7, 1H); 5.20 and 5.28 (2d, LT= 4.2, 1H); 5.40-6.00 (AB part of a ABX system, the X part being in the 15N spectrum, 2H);
6.51 (br, 2H); 8.00 (m, 1H); 8.28 (m, 1H); 8.49 (m, 1H); 9.20 (m, 1H); 9.67 (d, J = 12.2, 1H).
3-Pyridylcarbamide was prepared according to the proce-dure described in Heterocycles 1983, 1899.

Example 42 (1S,5R)-2-[2-(5-amino-3-carbamoylpyridinium)acetyl]-7-oxo-2,6-diazabicyclo[3.2.0]heptane-6-sulfonate, inner salt (129).
The titled compound has been prepared following scheme 11 and in analogy to example 24 using (5S,1R)-4-(2-bromoace-tyl)-4,7-diazabicyclo[3.2.0]heptan-6-one (compound F) which was first sulfonated (J. Org. Chem. 1982, 5160) and the com-mercially available 5-amino-3-pyridinecarboxamide as starting materials.
1H-NMR (DMSO-d6): 1.78 (m, 1H); 2.41 (m, 1H); 3.22 and 3.46 (2m, 1H); 3.98 and 4.09 (2m, 1H); 4.40 and 4.59 (2t, J =
4.6, 1H); 5.20 and 5.26 (2d, J = 4.1, 1H); 5.40-5.85 (AB part of a ABX system, the X part being in the 15N spectrum, 2H) ;
6.88 (d, J = 11.5, 2H); 7.95 (m, 1H); 8.07 (m, 2H); 8.41 (m, 2H).

Example 43 (1S,5R)-2-[N-(4-{[(2-amino-ethyl)amino]carbonylamino)phenyl)carbamoyl]-7-oxo-2,6-di-azabicyclo[3.2.0]heptane-6-sulfonic acid (324) Preparation of (tert-butoxy)-N-{4-[(fluoren-9-ylmeth-oxy) carbonylamino]phenyl} carboxamide Triethylamine (7.36 mL, 52.82 mmol, 1.1 eq) was added at 0 C to a stirred solution of N-BOC-1,4-phenylene diamine (10.00 g, 48.02 mmol, 1.0 eq) in CH3CN (240 mL), followed by 9-fluorenylmethyloxycarbonyl chloride (14.90 g, 57.62 mmol, 1.2 eq). The resulting mixture was allowed to come at room temperature. After 4 hours stirring at room temperature, the reaction mixture was filtered to afford 20.60 g of the crude expected product as a white powder which was used in the next step without any further purification.

1H-NMR (DMSO-d6): 1.46 (s, 9H); 4.29 (t, J = 6.6, 1H);
4.44 (d, J = 6.3, 2H); 7.30-7.45 (m, 8H); 7.75 (d, J = 7.4, 2H); 7.91 (d, J = 7.4, 2H); 9.22 (br, 1H); 9.59 (br, 1H).

Preparation of N-(4-aminophenyl)(fluoren-9-ylmeth-oxy)carboxamide TFA (55.30 mL, 717.76 mmol, 15.0 eq) was added at 0 C
to a stirred solution of (tert-butoxy)-N-{4-[(fluoren-9-yl-methoxy)carbonylamino]phenyl}carboxamide_(20.60 g, 47.85 mmol, 1.0 eq) in CH2C12 (900 mL). The resulting solution was allowed to come at room temperature. After stirring overnight at room temperature, the reaction mixture was concentrated to dryness and the residue was triturated in water. Then the mixture was filtered to afford 15.80 g of the expected crude product as a white powder.

1H-NMR (DMSO-d6): 4.30 (t, J = 6.4, 1H) ; 4.49 (d,= J =
6.4, 2H); 7.06 (d, J = 7.7, 2H); 7.40 (m, 6H); 7.74 (d, J =
7.4, 2H); 7.91 (d, J = 7.4, 2H); 8.95 (br, 2H); 9.73 (br, iH).

Preparation of N-{4-[(2,5-dioxoazolidiny-loxy)carbonylamino]phenyl}(fluoren-9-ylmethoxy)carboxamide N,N'-Disuccinimidylcarbonate (16.20 g, 63.26 mmol, 1.1 eq) was added at room temperature to a stirred solution of N-(4-aminophenyl)(fluoren-9-ylmethoxy)carboxamide (20.00 g, 60.53 mmol, 1.0 eq) in CH3CN (1100 mL). After stirring overnight at room temperature, the reaction mixture was filtered to afford 28.50 g of the expected crude product as a white powder.

1H-NMR (DMSO-d6): 2.83 (br, 4H); 4.31 (t, J = 6.4, 1H);
4.48 (m, 2H); 7.20-7.50 (m, 8H); 7.5 (d, J = 7.4, 2H); 7.91 (d, J = 7 .4, 2H) ; 9 . 72 (br, 1H) ; 10.67 (br, 1H) .

Preparation of N-{4-[({2-[(tert-bu-toxy)carbonylamino]ethyl)amino)carbonylamino ]phenyl}(fluoren-9-ylmethoxy)carboxamide A solution of N-{4-[(2,5-dioxoazolidiny-loxy)carbonylamino]phenyl}(fluoren-9-ylmethoxy)carboxamide (16.10 g, 34.15 mmol, 1.0 eq) in H20/CH3CN (1/1, v/v, 360 mL) was reacted at room temperature with NaHCO3 (2.86 g, 34.15 mmol, 1.0 eq) and N-BOC-ethylene diamine (5.47 g, 34.15 mmol, 1.0 eq). After stirring overnight at room temperature, the reaction mixture was filtered to afford 16.36 g of the ex-pected crude product as a white solid.
1H-NMR (DMSO-d6): 1.37 (s, 9H); 2.98 (m, 2H); 3.11 (m, 2H); 4.29 (t, J = 6.4, 1H); 4.44 (d, J = 6.4, 2H); 6.10 (m, 1H); 6.85 (m, 1H); 7.30-7.50 (m, 8H); 7.74 (d, J = 7.4, 2H);
7.90 (d, J = 7.4, 2H); 8.40 (s, 1H); 9.53 (br, 1H).
Preparation of N-(4-aminophenyl)({2-[(tert-bu-toxy)carbonylamino]ethyl}amino) carboxamide Piperidine (9.68 mL, 97.75 mmol, 5.0 eq) was added at room temperature to a stirred solution of N-(4-[({2-[(tert-bu-toxy)carbonylaminolethyl}amino)carbonylamino]phenyl} (fluo-ren-9-ylmethoxy)carboxamide (10.10 g, 19.55 mmol, 1.0 eq) in DMF (140 mL). After 2 hours stirring at room temperature, wa-ter was added to the reaction mixture and precipitation oc-cured. The resulting mixture was filtered, and the liquid phase was concentrated to afford 6.75 g of the expected prod-uct as an orange oil:

1H-NMR (DMSO-d6): 1.37 (S, 9H); 2.98 (m, 2H); 3.11 (m, 2H); 4.69 (s, 2H); 6.00 (t, J = 5.5, 1H) ; 6.44 (d, J = 8.6, 2H); 6.81 (t, J = 5.3, 1H); 6.97 (d, J = 8.6, 2H); 8.00 (s, 1H).
Preparation of ((2-[(tert-bu-toxy)carbonylaminolethyl}amino)-N-{4-[(2,5-dioxoazolidiny-loxy)carbonylamino]phenyl}carboxamide N,N'-Disuccinimidylcarbonate (5.49 g, 21.44 mmol, 1.1 eq) was added at room temperature to a stirred solution of N-(4-aminophenyl)({2-[(tert-bu-toxy)carbonylamino] ethyl} amino) carboxamide (6.75 g, 19.49 mmol, 1.0 eq) in CH3CN (350=mL). After stirring overnight at room temperature, the reaction mixture was filtered and to afford 9.70 g of the expected crude product as a light brown solid.
1H-NMR (DMSO-d6): 1.37 (s, 9H); 2.82 (br, 4H); 2.99 (m, 2H) ; 3.11 (m, 2H) ; 6.12 (t, J = 5.2, 1H); 6.85 (t, J = 5.5, 1H); 7.27 (d, J = 8.9, 2H); 7.36 (d, J = 8.9, 2H); 7.95 (s, 1H); 8.53 (s, 1H).

Preparation of [(2-aminoethyl)amino]-N-{4-[(2,5-di-oxoazolidinyloxy) carbonylamino]phenyl}carboxamide TFA (11.59 mL, 150.54 mmol, 5.0 eq) was added at room tem perature to a stirred suspension of (j2-[(tert-butoxy) carbonyl amino I ethyl) amino) -N-(4- [ (2,5-dioxoazolidinyloxy)carbonylamino]phenyl)carboxamide (13.8 g,
30.11 mmol, 1.0 eq) in CH2C12 (165 ML). After stirring over-night at room temperature, solvent was evaporated and the crude product was triturated with Et20 to afford 14.2 g of the expected crude product as a beige solid and as the tri-fuoroacetic acid salt.

1H-NMR (DMSO-d6): 2.82 (br, 4H); 2.88 (m, 2H); 3.30 (m, 2H); 6.51 (t, J = 5.6, 1H); 7.30 (d, J = 8.9, 2H); 7.40 (d, J
= 8.9, 2H); 7.77 (br, 3H); 8.85 (s, 1H); 10.61 (s, 1H).

Preparation of (1S,5R)-2-[N-(4-{[(2-aminoethyl)amino]carbonylamino}phenyl) carbamoyl]-7-oxo-2,6-diazabicyclo[3.2.0]heptane-6-sulfonic acid (324) (1S,5R)-7-oxo-2,6-diazabicyclo[3.2.0]heptane-6-sulfonic acid (compound H, 2.0 g, 10.41 mmol, 1.0 eq) was dissolved in H2O
(12.5 mL). Then CH3CN (100 mL) was added at room temperature to the solution, followed by NaHCO3 (1.57 g, 18.73 mmol, 1.8 eq) and [(2-aminoethyl)amino]-N-{4-[(2,5-dioxoazolidinyloxy)carbonylamino]phenyl}carboxamide (6.89 g, 14.57 mmol, 1.4 eq). After stirring overnight at room tem-perature, the reaction mixture was filtered to afford 3.27 g of the expected (1S,5R)-2-[N-(4-{[(2-aminoethyl)amino]carbonylamino}phenyl) carbamoyl]-7-oxo-2,6-diazabicyclo[3.2.0] heptane-6-sulfonic acid as a white solid.

1H-NMR (DMSO-d6): 1.65 (m, 1H); 2.30 (dd, J = 5.8 and 13.5, 1H); 2.90 (m, 2H); 3.18 (m, 1H); 3.30 (m, 2H); 3.98 (m, 1H); 4.41 (t, J = 4.7, 1H) ; 5.22 (d, J = 4.3, 1H); 6.23 (t, J
= 5.7, 1H); 7.28 (d, J = 8.2, 2H); 7.33 (d, J = 8.2, 2H) 7.65 (br, 3H); 8.38 (s, 1H); 8.53 (s, 1H).
Example 44 Sodium (1S,5R)-2-[N-(3,4 -dihydroxyphenyl)carbamoyl]-7-oxo-2,6-diazabicyclo[3.2.0]heptane-6-sulfonate (306) The titled compound was prepared following scheme 12 and in analogy to example 43 using (1S,5R)-7-oxo-2,6-diazabicyclo[3.2.0]heptane-6-sulfonic acid (compound H) and the commercially available 4-amino-1,2-benzenediol as start-ing materials.

1H-NMR (DMSO-d6): 1.64 (m, 1H); 2.29 (dd, J = 5.8 and 13.6, 1H); 3.13 (m, 1H); 3.93 (dd, J = 8.3 and 11.0, 1H);
4.37 (t, J = 4.8, 1H); 5.20 (d, J = 4.3, 1H); 6.50-6.70 (m, 2H); 6.97 (m, 1H); 7.84 and 8.15 (2s, 1H); 8.35 and 8.43 (2s, 1H); 8.77 and 8.82 (2s, 1H).
Example 45 Sodium.(13,5R)-2-{N-[3-(acetylamino)pheryl]carbamoyl}-7-oxo-2,6-diazabicyclo[3.2.0]heptane-6-sulfonate (307) The titled compound was prepared following scheme 12 and in analogy to example 43 using (1S,5R)-7-oxo-2,6-diazabicyclo[3.2. 0]heptane-6-sulfonic acid (compound H) and the commercially available 1-acetamido-3-aminobenzene as starting materials.
1H-NMR (DMSO-d6): 1.66 (m, 1H); 2.02 (s, 3H); 2.31 (dd, J = 5.8 and 13.6, 1H); 3.17 (m, 1H) ; 3.98 (dd, J = 8.3 and 11.0, 1H); 4.40 (t, J = 4.8, 1H); 5.27 (d, J = 4.3, 1H);
7.05-7.25 (m, 3H); 7.64 (m, 1H); 8.54 (s, 1H); 9.86 (s, 1H).
Example 46 Sodium (1S,5R)-7-oxo-2-[N-(3-sulfamoylphenyl)carbamoyl]-2,6-diazabicyclo[3.2.0]heptane-6-sulfonate (308) The titled compound was prepared following scheme 12 and in analogy to example 43 using (1S,5R)-7-oxo-2,6-diazabicyclo[3.2.0]heptane-6-sulfonic acid (compound H) and the commercially available 3-aminobenzene sulfonamide as starting materials.

1H-NMR (DMSO-d6): 1.68 (m, 1H); 2.32 (dd, J = 5.8 and 13.5, 1H); 3.21 (m, 1H); 4.02 (dd, J = 8.5 and 11.2, 1H);
4.43 (t, J = 4.7, 1H); 5.28 (d, J = 4.2, 1H); 7.31 (br, 2H);
7.38-7.46 (m, 2H); 7.72 and 7.74 (2t, J = 1.9, 1H); 8.05 (t, J = 1.7, 1H) ; 8.89 (br, 1H).

Example 47 Sodium (iS,5R)-2-(N-[4-(dimethylamino)phenyllcarbamoyl)-7-oxo-2,6-diazabicyclo[3.2.0]heptane-6-sulfonate (309) The titled compound was prepared following scheme 12 and in analogy to example 43 using (1S,5R)-7-oxo-2,6-diazabicyclo[3.2. 0]heptane-6-sulfonic acid (compound H) and the commercially available 4-(dimethylamino)aniline as start-ing materials.
+ESI-MS spectrum: m/z: 354 [M + HI +
Example 48 Sodium (1S,5R)-2-[N-(4-(N-[2-(dimethylamino)ethyl] carbamoyl}phenyl)carbamoyl]-7-oxo-2,6-diazabicyclo[3.2.O]heptane-6-sulfonate (310) The titled compound was prepared following scheme 12 and in analogy to example 43 using (1S,5R)-7-oxo-2,6-diazabicyclo[3.2.0]heptane-6-sulfonic acid (compound H) and the commercially available 4-aminobenzoic acid and 2-(dimethylamino)ethylamine as starting materials.
+ESI-MS spectrum: m/z: 425 [M+H] .

Example 49 Sodium (1S,5R)-2-(N-(4-[N-(carbamoylmethyl)carbamoyl]phenyl}carbamoyl)-7-oxo-2,6-diazabicyclo[3.2.0]heptane-6-sulfonate (312) The titled compound was prepared following scheme 12 and in analogy to example 43 using (1S,5R)-7-oxo-2,6-diazabicyclo(3.2. 0]heptane-6-sulfonic acid (compound H) and the commercially available 4-aminobenzoic acid and glycina-mide hydrochloride as starting materials.

1H-NMR (DMSO-d6): 1.68 (m, 1H); 2.32 (dd, J = 5.8 and 13.5, 1H); 3.21 (m, 1H); 3.78 (d, J = 5.7, 2H); 4.02 (dd, J =
8.3 and 11.1, 1H); 4.42 (t, J = 4.7, 1H); 5.28 (d, J = 4.6, 1H); 7.02 (br, 1H); 7.23 (br, lH); 7.58 (d, J = 9.1, 2H);
7.79 (d, J = 9.1, 2H) ; 8.50 (t, J = 5.8, 1H); 8.78 (s, 1H) Example 50 Sodium (1S,5R)-2-(N-(3-(1,3-oxazo1-5-yl)phenyl)carbamoyl]-7-oxo-2,6-diazabicyclo[3.2.0]heptane-6-sulfonate (318) The titled compound was prepared following scheme 12 and in analogy to example 43 using (1S,5R)-7-oxo-2,6-diazabicyclo[3.2.0]heptane-6-sulfonic acid (compound H) and the commercially available 3-(1,3-oxazol-5-yl)aniline as starting materials.

1H-NMR (DMSO-d6): 1.68 (m, 1H); 2.33 (dd, J = 5.8 and 13.7, 1H); 3.21 (m, 1H); 4.02 (dd, J = 8.1 and 11.0, 1H);
4.42 (t, J = 4.7, 1H); 5.27 (d, J = 4.3, 1H); 7.30-7.40 (m, 2H); 7.52 (m, 1H); 7.60 (s, 1H) ; 7.91 (s, 1H); 8.44 (s, 1H);
8.72 (br, 1H).

Example 51 Sodium (1S,5R)-7-oxo-2-[N-(2-oxo(3-hydrobenzimidazol-5-yl))carbamoyl]-2, 6-diazabicyclo[3.2.0]heptane-6-sulfonate (319) The titled compound was prepared following scheme 12 and in analogy to'example 43 using (1S,5R)-7-oxo-2,6-diazabicyclo[3.2. 0]heptane-6-sulfonic acid (compound H) and the commercially available 5(6)-aminobenzoimidazolone as starting materials.

1H-NMR (DMSO-d6): 1.65 (m, 1H); 2.30 (dd, J = 5.8 and 13.5, 1H); 3.17 (m, 1H); 3.96 (dd, J = 8.3 and 11.0, 1H) ;
4.39 (t, J = 4.7, 1H) ; 5.22 (d, J = 4.3, 1H); 6.78 (m, 1H), 6.95 (m, 1H); 7.22 (m, 1H); 8.07 and 8.37 (2s, 1H); 10.34 and 10.39 (2s, 1H); 10.46 and 10.50 (2s, 1H).
Example 52 Sodium (1S,5R)-2-(N-[3-(ethoxycarbonyl)phenyl]carbamoyl}-7-oxo-2,6-diazabicyclo[3.2.0]heptane-6-sulfonate (320) The titled compound was prepared following scheme 12 and in analogy to example 43 using (1S,5R)-7-oxo-2,6-diazabicyclo[3.2.0]heptane-6-sulfonic acid (compound H) and the commercially available 3-aminobenzoic acid ethyl ester as starting materials.

1H-NMR (DMSO-d6) : 1.32 (t, J = 7.1, 3H); 1.68 (m, 1H);
2.32 (dd, J = 5.8 and 13.5, 1H); 3.20 (m, 1H); 4.02 (dd,. J =
8.3 and 11.0, 1H); 4.31 (q, J = 7.1, 2H); 4.42 (t, J = 4.7, 1H); 5.27 (d, J = 4.5, 1H); 7.39 (t, J = 8.0, 1H); 7.56 (2dd, LT= 1.2 and 1.6, 1H); 7.82 (m, 1H); 8.14(t, J = 1.9, 1H);
8.81 (br, 1H).

Example 53 Sodium (iS,5R)-2-{N-[3-(hydroxymethyl)phenyl]carbamoyl}-7-oxo-2,6-diazabicyclo[3.2.0]heptane-6-suifonate (321) The titled compound was prepared following scheme 12 and in analogy to example 43 using (1S,5R)-7-oxo-2,6-diazabicyclo[3.2. 0]heptane-6-sulfonic acid (compound H) and the commercially available 3-(hydroxymethyl)aniline as start-ing materials.

1H-NMR (DMSO-d6): 1.67 (m, 1H); 2.31 (dd, J = 5.8 and 13.5, 1H); 3.18 (m, 1H); 3.99 (dd, J = 8.3 and 11.4, 1H);
4.41 (t, J = 4.7, 1H); 4.45 (d, J = 5.8, 2H); 5.15 (t, J =
5.6, 1H); 5.27 (d, J = 4.3, 1H); 6.90 (m, 1H); 7.18 (t, J =
7.8, 1H); 7.39 (m, 1H); 7.45 (m, 1H); 8.52 (br, 1H).
Example 54 (13,5R)-2-{N-[4-(([2-(2-aminoethoxy)ethyl]amino}carbonylamino)phenyl] carbamoyl}-7-oxo-2,6-diazabicyclo[3.2.0]heptane-6-sulfonic acid (323) The titled compound was prepared following scheme 12 and in analogy to example 43 using (1S,5R)-7-oxo-2,6-diazabicyclo[3.2. 0]heptane-6-sulfonic acid (compound H) and the commercially available 1,4-benzene diamine and 2,2-oxydiethylamine dihydrochloride (Eur. J. Org. Chem. 2002, 3004) as starting materials.

1H-NMR (DMSO-d6) : 1.65 (m, 1H); 2.30 (dd, J = 5.8 and 13.5, 1H); 2.99 (m, 2H); 3.16 (m, 1H); 3.29 (m, 2H); 3.49 (t, J = 5.7, 2H) ; 3.60 (t, J = 5.2, 2H); 3.95 (m, 1H); 4.39 (t, J
= 4.7, 1H); 5.20 (d, J = 4.3, 1H); 6.13 (t, J = 5.7, 1H) ;
7.24 (d, J = 8.2, 2H); 7.31 (d, J = 8.2, 2H); 7.73 (br, 3H);
8.35 (s, 1H); 8.37 (s, 1H).
Example 55 (1S,5R)-7-oxo-2-(N-{4-[(4-piperidylamino)carbonylamino]phenyl}carbamoyl)-2,6-diazabicyclo[3.2. 0]heptane-6-sulfonic acid (325) The titled compound was prepared following scheme 12 and in analogy to example 43 using (1S,5R)-7-oxo-2,6-diazabicyclo[3.2.0]heptane-6-sulfonic acid (compound H) and the commercially available 1,4-benzene diamine and 1-BOC-4-amino-piperidine hydrochloride as starting materials.
1H-NMR (DMSO-d6): 1.52 (m, 2H); 1.68 (m, 1H); 1.98 (m, 2H); 2.31 (dd, J = 6.0 and 13.6, 1H); 3.00 (m, 2H); 3.17 (m, 1H); 3.23 (m, 3H); 3.72 (m, 1H); 3.97 (dd, J = 8.3 and 11.0, 1H); 4.40 (t, J = 4.8, 1H); 5.21 (d, J = 4.2, 1H) ; 6.28 (d, J
= 7.5, 1H); 7.23 (d, J = 9.2, 2H); 7.32 (d, J = 9.2, 2H);
8.12 (s, 1H); 8.28 (br, 1H); 8.38 (s, 1H).

Example 56 (1S,5R)-7-oxo-2-(N-[4-(piperazinylcarbonylamino)phenyl]carbamoyl)-2,6-diazabicyclo[3.2.0]heptane-6-sulfonic acid (326) The titled compound was prepared following scheme 12 and in analogy to example 43 using (1S,5R)-7-oxo-2,6-diazabicyclo[3.2. 0]heptane-6-sulfonic acid (compound H) and the commercially available 1,4-benzene diamine and 1-BOC-piperazine as starting materials.

1H-NMR (DMSO-d6): 1.65 (m, 1H); 2.32 (dd, J = 5.7 and 13.6, 1H); 3.13 (m, 4H); 3.19 (m, 1H); 3.62 (m, 4H); 3.97 (dd, J = 8.3 and 11.2, 1H); 4.40 (t, J = 4.7, 1H); 5.31 (d, J
= 4.3, 1H); 7.28 (d, J = 9.2, 2H); 7.36 (d, J = 9.2, 2H);
8.42 (s, 1H); 8.58 (s, 1H); 8.63 (br, 1H).

Example 57 Sodium (1S,5R)-2-(N-(4-aminophenyl)carbamoyl]-7-oxo-2,6-diazabicyclo[3.2.0] heptane-6-sulfonate (327) The titled compound was prepared following scheme 12 and in analogy to example 43 using (1S,5R)-7-oxo-2,6-diazabicyclo[3.2. 0]heptane-6-sulfonic acid (compound H) and the commercially available N-BOC-1,4-phenylene diamine as starting materials.
+ESI-MS spectrum: m/z: 326 [M + H] +.
Example 58 Sodium (1S,5R)-2-[N-(2-carbamoylphenyl)carbamoyl]-7-oxo-2,6-diazabicyclo[3.2.0] heptane-6-sulfonate (328) The titled compound was prepared following scheme 12 and in analogy to example 43 using (1S,5R)-7-oxo-2,6-diazabicyclo[3.2.0]heptane-6-sulfonic acid (compound H) and the commercially available 2-aminobenzamide as starting mate-rials.

1H-NMR (DMSO-d6): 1.67 (m, 1H); 2.36 (dd, J = 6.0 and 13.8, 1H) ; 3.23 (m, 1H); 3.97 (m, 1H); 4.42 (t, J = 4.7, 1H);
5.24 (d, J = 4.2, 1H) ; 7.00 (m, 1H) ; 7.45 (m, 1H); 7.72 (br, 1H); 7.79 (dd, J = 1.2 and 7.9, 1H); 7.91 (s, 1H); 8.28 (br, 1H); 8.37 (dd, J = 1.2 and 8.4, 1H).

Example 59 Sodium (1S,5R)-7-oxo-2-[N-(4-(2-[(phenylmethoxy)carbonylamino]acetylamino}phenyl)carbamoyl]-2,6-diazabicyclo[3.2.0]heptane-6-sulfonate (329) The titled compound was prepared following scheme 12 and in analogy to example 43 using (1S,5R)-7-oxo-2,6-diazabicyclo[3.2.0]heptane-6-sulfonic acid (compound H) and the commercially available 1,4-benzene diamine and N-carbobenzoxyglycine as starting materials.

1H-NMR (DMSO-d6): 1.66 (m, 1H); 2.31 (m, 1H); 3.18 (m, 1H); 3.78 (d, J = 6.1, 2H); 3.98 (dd, J = 8.0 and 11.1, 1H);
4.40 (t, J = 4.8, 1H); 5.03 (s, 2H); 5.23 (d, J = 4.5, 1H);
7.22-7.58 (m, 10H); 8.49 (s, 1H); 9.83 (s, 1H).

Example 60 (1S,5R)-2-[N-(4-([(2-morpholin-4-ylethyl)amino]carbonylamino)phenyl)carbamoyl]-7-oxo-2,6-diazabicyclo[3.2.0] heptane-6-sulfonic acid (330) The titled compound was prepared following scheme 12 and in analogy to example 43 using (1S,5R)-7-oxo-2,6-diazabicyclo[3.2.0]heptane-5-sulfonic acid (compound H) and the commercially available 1,4-benzene diamine and N-(2-aminoethyl)morpholine as starting materials.

1H-NMR (DMSO-d6): 1.67 (m, 1H) ; 2.31 (dd, J = 6.1 and 13.7, 1H); 3.00-3.25 (m, 5H); 3.40-3.75 (m, 6H); 3.97 (m, 3H); 4,41 (t, J = 4.7, 1H); 5.22 (d, J = 4.2, 1H); 6.28 (br, 1H); 7.28 (d, J = 9.2, 2H) ; 7.33 (d, J = 9.2, 2H) ; 8.39 (s, 1H); 8.50 (s, 1H); 9.47 (br, iH).

Example 61 (1S,5R)-2-[N-(4-{ [(2-( [(2-morpholin-4-ylethyl)amino]carbonylamino)ethyl)amino]carbonylamino}phenyl) carbamoyl]-7-oxo-2,6-diazabicyclo[3.2.0]heptane-6-sulfonic acid (331) The titled compound was prepared following scheme 12 and in analogy to example 43 using (1S,5R)-7-oxo-2,6-diazabicyclo[3.2. 0]heptane-6-sulfonic acid (compound H) and the commercially available 1,4-benzene diamine, N-(2-aminoethyl)morpholine and ethylenediamine as starting materi-als.

1H-NMR (DMSO-d6): 1.66 (m, 1H) ; 2.31 (dd, J = 6.1 and 13.7, 1H); 3.00-3.22 (m, 11H); 3.49 (m, 2H); 3.61 (m, 2H);
3.96 (m, 3H); 4.39 (t, J = 4.7, 1H); 5.22 (d, J = 4.5, 1H) ;
6.11 (t, J = 5.8, 1H); 6.32 (m, 2H); 7.24 (d, J = 9.1, 2H) ;
7.33 (d, J = 9.1, 2H); 8.38 (d, J = 4.4, 1H); 9.53 (br, 1H).
Example 62 (1S,5R)-2-(N-{4-[N-(2-aminoethyl)carbamoyl]phenyl}carbamoyl)-7-oxo-2,6-diazabicyclo[3.2.0]heptane-6-sulfonic acid (332) The titled compound was prepared following scheme 12 and in analogy to example 43 using (1S,5R)-7-oxo-2,6-diazabicyclo[3.2. 0]heptane-6-sulfonic acid (compound H) and the commercially available 4-aminobenzamide and 2-bromo-ethanamine as starting materials.

1H-NMR (DMSO-d6): 1.69 (m, 1H); 2.33 (dd, J = 5.8 and 13.7, 1H); 2.97 (m, 2H); 3.22 (m, 1H); 3.48 (m, 2H); 4.01 (dd, J = 8.2 and 11.0, 1H); 4.43 (t, J = 4.7, 1H); 5.27 (d, J
= 4.5, 1H); 7.61 (d, j = 9.1, 2H); 7.75 (m, 5H); 8.43 (m, 1H); 8.81 (s, 1H).
Example 63 Sodium (1S,5R)-2-(N-(4-[(tert-butoxy)carbonylamino]phenyl)carbamoyl)-7-oxo-2,6-diazabicyclo[3.2. 0]heptane-6-sulfonate (333) The titled compound was prepared following scheme 12 and in analogy to example 43 using (1S,5R)-7-oxo-2,6-diazabicyclo[3.2. 0]heptane-6-sulfonic acid (compound H) and the commercially available N-BOC-1,4-benzene diamine as starting materials.

1H-NMR (DMSO-d6): 1.46 (s, 9H); 1.64 (m, 1H); 2.30 (dd, J = 5.8 and 13.5, 1H); 3.16 (m, 1H) ; 3.97 (dd, J = 8.5 and 11.3, 1H); 4.39 (t, J = 4.8, 1H) ; 5.22 (d, J = 4.3, 1H);
7.25-7.35 (m, 4H); 8.41 (s, 1H); 9.17 (s, 1H).

Example 64 Sodium (1S,5R)-2-{N-((3,4-dihydroxyphenyl)methyllcarbamoyl}-7-oxo-2,6-diazabicyclo[3.2.0]heptane-6-sulfonate (303) The titled compound was prepared following scheme 12 and in analogy to example 43 using (1S,5R)-7-oxo-2,6-diazabicyclo[3.2. 0]heptane-6-sulfonic acid (compound H) and commercially available 3,4-dihydroxybenzylamine.
-ESI-MS spectrum: m/z: 356 [M - Hl".
Example 65 (1S,5R)-2-{1y-[4-(morpholin-4-ylmethyl)phenyl]carbamoyl}-7-oxo-2,6-diazabicyclo[3.2.0]heptane-6-sulfonic acid (334).

The titled compound has been prepared following scheme 12 and in analogy to example 43 using (1S,5R)-7-oxo-2,6-diazabicyclo[3.2.0]heptane-6-sulfonic acid (compound H) and the commercially available 4-(morpholinomethyl)aniline as starting materials.

1H-NMR (DMSO-d6): 1.67 (m, 1H); 2.30 (dd, J = 5.8 and 13.6, 1H); 3.12 (m, 2H); 3.25 (m, 3H); 3.60 (t, J = 11.8, 2H); 3.97 (m, 3H); 4.26 (br, 2H); 4.42 (t, J = 4.7, 1H); 5.25 (d, J = 4.3, 1H) ; 7.36 (d, J = 8.2, 2H); 7.60 (d, J = 8.2, 2H); 8.74 (br, 1H); 9.61 (br, 1H).
Example 66 (1S,5R)-2-[N-(4-morpholin-4-ylphenyl)carbamoyl]-7-oxo-2,6-diazabicyclo [3.2.0]heptane-6-sulfonic acid (335) The titled compound has been prepared following scheme 12 and in analogy to example 43 using (1S,5R)-7-oxo-2,6-diazabicyclo[3.2.0]heptane-6-sulfonic acid (compound H) and the commercially available 4-morpholinoaniline as starting materials.

1H-NMR (DMSO-d6): 1.67 (m, 1H); 2.32 (dd, J = 5.8 and 13.6, 1H); 3.19 (m, 1H); 3.32 (br, 4H); 3.85 (br, 4H); 3.98 (m, 1H) ; 4.42 (t, J = 4.7, 1H) ; 5.25 (d, J = 4.3, 1H) ; 7.24 (br, 2H); 7.50 (d, J = 8.6, 2H); 8.60 (br, 1H).

Example 67 (iS,5R)-2-[N-(3-morpholin-4-ylphenyl)carbamoyl]-7-oxo-2,6-diazabicyclo[3.2.0]heptane-6-sulfonic acid (336).

The titled compound has been prepared following scheme 12 and in analogy to example 43 using (1S,5R)-7-oxo-2,6-diazabicyclo[3.2.0]heptane-6-sulfonic acid (compound H) and the commercially available 3-morpholino-4-ylaniline as start-ing materials.

1H-NMR (DMSO-d6): 1.67 (m, 1H); 2.32 (dd, J = 5.8 and 13.6, 1H) ; 3.19 (m, 1H) ; 3.26 (br, 4H) ; 3.82 (br, 4H) ; 3.99 (m, 1H) ; 4.42 (t, J = 4.7, 1H) ; 5.25 (d, J = 4.3, 1H) ; 6.84 (d, J = 7 .5, 1H); 7.15 (d, J = 8.1, 1H) ; 7.23 (t, J = 8. 1, 1H); 7.48 (br, 1H); 8.60 (br, 1H).

Example 68 (1S,5R)-7-oxo-2-(N-[3-(piperazinylmethyl)phenyl]carbamoyl}-2,6-diazabicyclo[3.2.0]heptane-6-sulfonic acid (337).

The titled compound has been prepared following scheme 12 and in analogy to example 43 using (1S,5R)-7-oxo-2,6-diazabicyclo[3.2.0]heptane-6-sulfonic acid (compound H) and the commercially available tert-butyl 4-(3-aminobenzyl)piperazine-l-carboxylate as starting materials.

The final deprotection step, using trifluoroacetic acid, has been performed in analogy to example 1.

1H-NMR (DMSO-d6): 1.67 (m, 1H); 2.32 (dd, J = 5.8 and 13.6, 1H); 2.58 (br, 4H); 3.09 (br, 4H); 3.19 (m, 1H); 3.49 (br, 2H) ; 3 .98 (m, 1H) ; 4.41 (t, J = 4.7, 1H) ; 5.25 (d, J =
4.3, 1H) ; 6.89 (d, J = 7.5, 1H) ; 7.21 (t, J = 8. 1, 1H) ; 7.37 (t, J = 8.1, 1H); 7.52 (br, 1H); 8.44 (br, 2H); 8.55 (br, 1H).
Example 69 2-[N-((33)pyrrolidin-3-yl)carbamoyl](1S,5R)-7-oxo-2,6-diazabicyclo [3.2.0]heptane-6-sulfonic acid (338).
The titled compound has been prepared following scheme 12 and in analogy to example 43 using (1S,5R)-7-oxo-2,6-diazabicyclo[3.2.0]heptane-6-sulfonic acid (compound H) and commercially available -(S)-3-amino-1-N-BOC-pyrrolidine as starting materials. The final deprotetion step, using trifluoroacetic acid, has been performed in analogy to exam-ple 1.
+ESI-MS spectrum: m/z: 305 [M+H]+.
Example 70 2-[N-(4-([((3S)pyrrolidin-3-yl)amino]carbonylamino}phenyl) carbamoyl](1S,5R)-7-oxo-2,6-diazabicyclo[3.2.0]heptane-6-sulfonic acid (339).

The titled compound has been prepared following scheme 12 and in analogy to example 43 using (1S,5R)-7-oxo-2,6,-diazabicyclo[3.2. 0]heptane-6-sulfonic acid (compound H) and the commercially available 1,4-benzene diamine and also com-mercially available (S) -3 -amino- 1-N-BOC-pyrrolidine as start-ing materials. The final deprotetion step, using trifluoroacetic acid, has been performed in analogy to exam-ple 1.
1H-NMR (DMSO-d6): 1.65 (m, 1H); 1.82 (m, 1H); 2.17 (m, 1H) ; 2.31 (dd, J = 5.8 and 13.6, 1H); 3.06 (dd, J = 5.1 and 11.8, 1H); 3.19 (m, 2H); 3.29 (m, 2H); 3.96 (dd, J = 8.3 and 11.1, 1H); 4.22 (m, 1H); 4.40 (t, J = 4.7, 1H); 5.22 (d, J =
4.3, 1H) ; 6.40 (d, J = 6.0, 1H); 7.26 (d, J = 9.2, 2H); 7.33 (d, J = 9.2, 2H); 8.37 (s, 1H); 8.41 (s, 1H); 8.70 (br, 2H).
Example 71 (1S,5R)-2-{N-[4-(2-morpholin-4-ylethoxy)phenyl]carbamoyl}-7-oxo-2,6-diazabicyclo[3.2.0]heptane-6-sulfonic acid (340).

The titled compound has been prepared following scheme 12 and in analogy to example 43 using (1S,5R)-7-oxo-2,6-diazabicyclo[3.2. 0]heptane-6-sulfonic acid (compound H) and the commercially available 4- (2-morpholin-4-ylethoxy) aniline as starting materials.

1H-NMR (DMSO-d6): 1.66 (m, 1H); 2.31 (dd, J = 5.8 and 13.6, 1H); 3.18 (m, 3H); 3.54 (m, 4H); 3.70 (m, 2H); 3.96 (m, 3H); 4.29 (m, 2H); 4.41 (t, J = 4.7, 1H); 5.21 (d, J = 4.3, 1H) ; 6.93 (d, J = 9. 0, 2H) ; 7.41 (d, J = 9. 0, 2H) ; 8.44 (s, 1H); 9.81 (br, 1H).
Example 72 (1S,5R)-2-{N-[3-(2-morpholin-4-ylethoxy)phenyl]carbamoyl}-7-oxo-2,6-diazabicyclo[3.2.O]heptane-6-sulfonic acid (341).

The titled compound has been prepared following scheme 12 and in analogy to example 43 using (1S,5R)-7-oxo-2,6-diazabicyclo[3.2.0]heptane-6-sulfonic acid (compound H) and the commercially available 3-(2-morpholin-4-ylethoxy)aniline as starting materials.

1H-NMR (DMSO-d6): 1.66 (m, 1H); 2.31 (dd, J = 5.8 and 13.6, 1H); 3.18 (m, 3H); 3.54 (m, 4H); 3.70 (m, 2H); 3.98 (m, 3H) ; 4.29 (m, 2H) ; 4.41 (t, J = 4.7, 1H) ; 5.23 (d, J = 4.3, 1H); 6 .61 (dd, J = 1.9 and 8.1, 1H) ; 7. 0 4 (dd, J = 1.1 and 8.1, 1H) ; 7.19 (t, J = 8.1, 1H); 7.38 (s, 1H); 8.57 (s, 1H);
9.81 (br, 1H).

Example 73 (1S,5R)-7-oxo-2-[N-(4-piperidylphenyl)carbamoyl]-2,6-diazabicyclo [3.2.0]heptane-6-sulfonic acid (342).

The titled compound has been prepared following scheme 12 and in analogy to example 43 using (1S,5R)-7-oxo-2,6-diazabicyclo[3.2. 0]heptane-6-sulfonic acid (compound H) and the commercially available 4-(1-piperidino)aniline as start-ing materials.
1H-NMR (DMSO-d6): 1.40-2.00 (m, 7H); 2.30 (dd, J = 5.8 and 13.5, 1H); 3.22 (m, 1H); 3.45 (br, 4H); 3.98 (dd, J = 8.3 and 11.0, 1H); 4.42 (t, J = 4.7, 1H); 5.24 (d, J = 4.3, 1H);
7.50-7.75 (m, 4H); 8.85 (br, 1H); 10.80 (s, 1H).
Example 74 (1S,5R)-2-[N-(6-morpholin-4-yl(3-pyridyl))carbamoyl]-7-oxo-2,6-diazabicyclo[3.2.0]heptane-6-sulfonic acid (343).

The titled compound has been prepared following scheme 12 and in. analogy to example 43 using (1S,5R)-7-oxo-2,6-diazabicyclo[3.2.0]heptane-6-sulfonic acid (compound H) and the commercially available 6-morpholinopyridine-3-amine as starting materials.

1H-NMR (DMSO-d6): 1.70 (m, 1H); 2.34 (dd, J = 5.8 and 13.5, 1H) ; 3.22 (m, 1H); 3.54 (m, 4H); 3.76 (m, 4H); 3.98 (dd, J = 8.3 and 11.0, 1H); 4.42 (t, J - 4.7, 1H); 5.19 (d, J
= 4.4, 1H); 7.38 (d, J = 9.7, 1H); 8.06 (dd, J = 2.4 and 9.7, 1H); 8.29 (d, J = 2.4, 1H); 8.88 (br, 1H).

Example 75 (1S,5R)-2-(N-[4-(4-methylpiperazinyl)phenyl]carbamoyl}-7-oxo-2,6-diazabicyclo[3.2.0]heptane-6-sulfonic acid (344).
The titled compound has been prepared following scheme 12 and in analogy to example 43 using (1S,5R)-7-oxo-2,6-diazabicyclo[3.2.0]heptane-6-sulfonic acid (compound H) and the commercially available 4- (4-methylpiperazino) aniline as starting materials.

1H-NMR (DMSO-d6): 1.65 (m, 1H); 2.31 (dd, J = 5.8 and 13.6, 1H); 2.69 (m, 2H); 2.99 (m, 2H); 3.05-3.25 (m, 8H);
3.96 (dd, J = 8.3 and 11.0, 1H); 4.39 (t, j = 4.7, 1H); 5.31 (d, J = 4.3, 1H) ; 6.91 (d, j = 9.0, 2H); 7.35 (d, J = 9.0, 2H); 8.36 (s, 1H).

Example 76 (1S,5R)-2-(2-[1-(dimethylamino)-2-oxohydropyrimidin-4-ylthio]acetyl)-7-oxo-2,6-diazabicyclo[3.2.0]heptane-6-sulfonic acid (203) The titled compound was prepared following scheme 12 in analogy to example 14 using (5S,1R)-4,7-diazabicyclo[3.2.0]heptan-6-one (compound E) and 2-[1-(dimethylamino)-2-oxohydropyrimidin-4-ylthio]acetic acid. The resulting compound was then sulfonated according to the pro-cedure described in J. Org. Chem. 1982, 5160.
+ESI-MS spectrum: m/z: 404 [M+H] +.
2-[1-(dimethylamino)-2-oxohydropyrimidin-4-ylthio]acetic acid was prepared from the 3-(dimethylamino)-6-sulfanyl-3-hydropyrimidin-2-one (US-A-4,348,518) and bromoacetic acid according to the procedures described in Russian J. Org.
Chem. 2000, 761.
Example 77 (1S,5R)-7-oxo-2-{2-[4-(2-pyridiniumacetylamino)phenylthio]acetyl}-2,6-diazabicyclo[3.2.0]heptane-6-sulfonate, inner salt (204) The titled compound was prepared following scheme 13 in analogy to example 14 using (5S,1R)-4,7-diazabicyclo[3.2.0]heptan-6-one (compound E) and the 2-[4-(2-pyridylacetylamino)phenylthio]acetic acid as starting materi-als. The resulting compound was then sulfonated according to the procedure described in J. Org. Chem. 1982, 5160.
+ESI-MS spectrum: m/z: 397 [M+H-S03]
Example 78 (1S,5R)-2-(2-(1-(2-(dimethylamino)ethyl](1,2,3,4-tetraazol-5-ylthio)}acetyl)-7-oxo-2,6-diazabicyclo[3.2.0]heptane-6-sulfonic acid (205) The titled compound was prepared following scheme 13 in analogy to example 14 using (5S,1R)-4,7-diazabicyclo[3.2.0]heptan-6-one (compound E) and 2-{1-[2-(dimethylamino)ethyl]-1,2,3,4-tetraazol-5-ylthio}acetic acid as starting materials. The resulting compound was then sul-fonated according to the procedure described in J. Org. Chem.
1982, 5160.

2-[l-[2-(dimethylamino)ethyl]-1,2,3,4-tetraazol-5-ylthio}acetic acid was prepared from commercially availablel-(2-dimethylaminoethyl)-5-mercapto-1,2,3,4-tetrazole and bromo acetic acid according to the procedures described in Russian J. Org. Chem. 2000, 761 +ESI-MS spectrum: m/z: 406 [M+H] +.
Example 79 Sodium (1S,5R)-2-(2-(1-methyl(1,3,4-thiadiazol-2-ylthio))acetyl]-7-oxo-2,6-diazabicyclo[3.2.0]heptane-6-sulfonate (202) The titled compound was prepared following scheme 13 in analogy to example 14 using (5S,1R)-4,7-diazabicyclo[3.2.0]heptan-6-one (compound E) and the commer-cially available 2-(5-methyl-1,3,4-thiadiazol-2-ylthio)acetic acid as starting materials. The resulting compound was then sulfonated according to the procedure described in J. Org.
Chem. 1982, 5160.
-ESI-MS spectrum: m/z: 363 [M - H] +.
Example 80 (1S,5R)-2-[2-(4-{N-[2-(dimethylamino)ethyl]carbamoyl)phenylthio)acetyl]-7-oxo-2,6-diazabicyclo[3.2.0]heptane-6-sulfonic acid (207).
[5-(2-Dimethylamino-ethylcarbamoyl)phenylthio]acetic acid To a suspension of commercially available 4-mercapto benzoic acid (1.54 g, 10 mmol) in water was added NaOH (0.88 g, 22 mmol). The resulting solution was stirred at room tem-perature for 30 min and then bromo acetic acid ethyl ester (1.67 g, 10 mmol) was slowly added to the previous solution.
After stirring at room temperature for 2 hours, an aqueous solution containing HC1 (1M) was added. The obtained precipi-tate was filtrated, washed with water and dried to afford 1.5g of 4-ethoxycarbonylmethylthio benzoic acid.
-ESI-MS spectrum: m/z: 239 [M-HI"'.
Then the corresponding acid chloride of 4-ethoxycarbonylmethylthio benzoic acid was prepared in analogy to the procedure described in Synthesis, 1985, 517 and the condensation of the commercially available 2-dimethylaminoethyl amine and the hydrolysis of the ester group were performed in analogy to the procedure described in Bioorg. Med. Chem. Lett. 2003, 1517.
+ESI-MS spectrum: m/z: 283 [M+H]
(1S,5R)-2-[2-(4-{N-[2-(dimethylamino)ethyl]carbamoyl}phenylthio)acetyl]-7-oxo-2,6-diazabicyclo[3.2. 0]heptane-6-sulfonic acid (207).
[5-(2-Dimethylamino-ethylcarbamoyl)phenylthio]acetic acid (144 mg, 0.49 mmol, 1.0 eq) was added at room tempera-ture to a stirred solution of (1S,5R)-7-oxo-2,6-diazabicyclo[3.2. 0]heptane-6-sulfonic acid (compound H, 100 mg, 0.49 mmol, 1.0 eq) in DMSO (4 mL), followed by 0-(benzotriazo-yl)-1,1,3,3-tetramethyluronium hexafluorophos-phate (HBTU) (225 mg, 0.59 mmol, 1.2 eq) and triethylamine (83 NLL, 0.59 mmol, 1.2 eq). After 4 hours stirring at room temperature, DMSO was evaporated, the crude was treated with acetonitrile. The resulting mixture was filtered to afford the crude product as a yellow solid which was purified by preparative HPLC: 74 mg (30%).
1H-NMR (DMSO-d6): 1.70 (m, 1H); 2.32 (m, 1H); 2.83 (s, 6H); 3.14 and 3.38 (2m, 1H); 3.26 (m, 2H); 3.57 (m, 2H);
3.96-4.23 (m, 3H)'; 4.34 and 4.51 (2t, J = 4.7, 1H); 5.16 and 5.31 (2d, J = 4.3, 1H); 7.43 (dd, J = 8.5 and 12.6, 2H); 7.78 (dd, J = 2.4 and 8.5, 2H); 8.62 (m, 1H); 9.18 (br, 1H) Example 81 (1S,5R)-2-[2-(5-{N-[2-(dimethylamino)ethyl]carbamoyl}(2-pyridylthio)) acetyl]-7-oxo-2,6-diazabicyclo[3.2.0]heptane-6-sulfonic acid (208).
The titled compound has been prepared following scheme 13 and in analogy to example 80 using (1S,5R)-7-oxo-2,6-diazabicyclo[3.2.0]heptane-6-sulfonic acid (compound H) and [5-(2-dimethylaminoethylcarbamoyl)pyridin-2-ylthio]acetic acid as starting materials.

1H-NMR (DMSO-d6): 1.66 (m, 1H); 2.33 (m, 1H); 2.82 (s, 3H); 2.85 (s, 3H); 3.15 and 3.48 (2m, 1H); 3.26 (m, 2H); 3.61 (m, 2H); 3.98-4.55 (m, 4H); 5.16 and 5.35 (2t, J= 4.3, 1H);
7.48 (d, J = 8.4; 1H) ; 8.02 (m, 1H) ; 8.75 (m, 1H) ; 8.85 (dd, J = 1.8 and 7.5, 1H); 9.16 (br, 1H).
[5-(2-Dimethylamino-ethylcarbamoyl)pyridin-2-ylthio]acetic acid was prepared in analogy to the procedure described in Bioorg. Med. Chem. Lett. 2003, 1517 using bromo acetic acid ethyl ester and commercially available 2-dimethylaminoethyl amine.

Example 82 aminoethyl)carbamoyl]phenylthio}acetyl) -7-oxo-2,6-diazabicyclo[3.2.0]heptane-6-sulfonic acid (209).
The titled compound has been prepared following scheme 13 and in analogy to example 80 using (1S,5R)-7-oxo-2,6-diazabicyclo[3.2. 0]heptane-6-sulfonic acid (compound H) and [4-(2-tert-butoxycarbonylaminoethylcarbamoyl)phenylthio] acetic acid as starting materials. The final deprotection step, using trifluoroacetic acid, has been performed in analogy to exam-ple 1.
1H-NMR (DMSO-d6): 1.72 (m, 1H); 2.33 (m, 1H); 2.97 (t, J
6.0, 2H); 3.14 and 3.38 (2m, 1H); 3.48 (q, J = 6.0, 2H);
3.95-4.24 (m, 3H); 4.34 and 4.51 (2t, J = 4.8, 1H); 5.17 and 5.32 (2d, J = 4.3, 1H); 7.42 (dd, J = 8.5 and 13.1,-2H); 7.78 (dd, J = 2.5 and 8.5, 2H); 8.55 (m, 1H) [4- (2-Tert-butoxycarbonylaminoethylcarbamoyl)phenylthio]acetic acid was prepared in analogy to the procedure described in example 80 using 4-ethoxycarbonylmethylthiobenzoic acid and commercially available (2-aminoethyl)carbamic acid tert-butyl ester.
Maniple 83 (13,5R)-2-(2-{4-[N-(2-aminoethyl)-N-methylcarbamoyl]pheaylthio}acetyl)-7-oxo-2,6-diazabicyclo[3.2.0]heptane-6-sulfonic acid (210).
The titled compound has been prepared following scheme 13 and in analogy to example 80 using (1S,5R)-7-oxo-2,6-diazabicyclo[3.2.0]heptane-6-sulfonic acid (compound H) and {4-[(2-tert-butoxycarbonylamino ethyl) methyl-carbamoyl]phenylthio)acetic acid as starting materials. The final deprotection step, using trifluoroacetic acid, has been performed in analogy to example 1.
-ESI-MS spectrum: m/z: 441 [M-H]+
{4- [ (2-Tert-butoxycarbonylaminoethyl)methylcarbamoyl]phenylthio}acetic acid was prepared in analogy to the procedure described in example 80 using 4-ethoxycarbonylmethylsulfanylbenzoic acid and commercially available (2-methylamino-ethyl)carbamic acid tert-butyl ester.
Example 84 (1S,5R)-2-[2-(4-{N-[2-(methylamino)ethyl]carbamoyl}phenylthio)acetyl]-7-oxo-2,6-diazabicyclo[3.2.0]heptane-6-sulfonic acid (211) The titled compound has been prepared following scheme 13 and in analogy to example 80 using (1S,5R)-7-oxo-2,6-diazabicyclo[3.2.0]heptane-6-sulfonic acid (compound H) and {4-[2-(tert-butoxycarbonylmethylamino)ethylcarbamoyl] phenyl-thio}acetic acid as starting materials. The final deprotec-tion step, using trifluoroacetic acid, has been performed in analogy to example 1.
-ESI-MS spectrum: m/z: 441 [M-H]+
(4- [2- (Tert-butoxycarbonylmethylamino)ethylcarbamoyllphenylthio)acetic acid was prepared in analogy to the procedure described in example 80 using 4-ethoxycarbonyl methylthiobenzoic acid and commercially available (2-aminoethyl)methylcarbamic acid tert-butyl ester.

Example 85 (1S,5R)-7-oxo-2-{2-[4-(piperazinylcarbonyl)phenylthio]acetyl}-2,6-diazabicyclo[3.2. 0]heptane-6-sulfonic acid (212).
The titled compound has been prepared following scheme 13 and in analogy to example 80 using (1S,5R)-7-oxo-2,6-diazabicyclo[3.2.0]heptane-6-sulfonic acid (compound H) and 4-(4-carboxymethylthiobenzoyl)piperazine-l-carboxylic acid tert-butyl ester as starting materials. The final deprotec-tion step, using trifluoroacetic acid, has been performed in analogy to example 1.
-ESI-MS spectrum: m/z: 453 [M-H]+
4-(4-Carboxymethylsulfanyl-benzoyl)piperazine-l-carboxylic acid tert-butyl ester was prepared in analogy to the procedure described in example 80 using 4-ethoxycarbonylmethylthiobenzoic acid and commercially avail-able piperazine-l-carboxylic acid tart-butyl ester.

Example 86 (1S,5R)-2-(2-[4-(2-aminoethoxy)phenylthiolacetyl}-7-oxo-2,6-diazabicyclo [3.2.0]heptane-6-sulfonic acid (213).
The titled compound has been prepared following scheme 13 and in analogy to example 80 using (1S,5R)-7-oxo-2,6-diazabicyclo(3.2.0]heptane-6-sulfonic acid (compound H) and [4-(2-tert-butoxycarbonylaminoethoxy)phenylthio]acetic acid as starting materials. The final deprotection step, using trifluoroacetic acid, has been performed in analogy to exam-ple 1.
-ESI-MS spectrum: m/z: 400 [M-Hl' [4-(2-Tert-butoxycarbonylaminoethoxy)phenylthio]acetic acid was prepared in analogy to the procedure described in J.
Med Chem.2000, 721 using first bromo acetic ethyl ester and then the commercially available (2-bromoethyl)carbamic acid tert-butyl ester.

Example 87 (13,5R)-2-(2-{5-[N-(2-aminoethyl)carbamoyl](2-pyridylthio)}acetyl)-7-oxo-2,6-diazabicyclo[3.2.0]heptane-6-sulfonic acid (214).
The titled compound has been prepared following scheme 13 and in analogy to example 80 using (1S,5R)-7-oxo-2,6-diazabicyclo[3.2.0)heptane-6-sulfonic acid (compound H) and [4- (2-tert-butoxycarbonylaminoethylcarbamoyl)phenylthio] acetic acid as starting materials. The final deprotection step, using trifluoroacetic acid, has been performed in analogy to exam-ple 1.
-ESI-MS spectrum: m/z: 428 [M-Hl' [4-(2-Tert-butoxycarbonylamino -ethylcarbamoyl)--phenylthio] acetic acid was prepared in analogy to the proce-dure described in Bioorg. Med. Chem. Lett. 2003, 1517 using bromo acetic acid ethyl ester and commercially available (2-aminoethyl)carbamic acid tert-butyl ester.

Example 88 (1S,5R)-2-[2-(5-{N-(2-(methyl amino) ethyl Icarbamoyl)(2-pyridylthio))acetyl]-7-oxo-2,6-diazabicyclo[3.2.0]heptane-6-sulfonic acid (215).
The titled compound has been prepared following scheme 13 and in analogy to example 80 using (1S,5R)-7-oxo-2,6-diazabicyclo[3.2.0]heptane-6-sulfonic acid (compound H) and {4-[2-(tert-butoxycarbonylmethylamino) ethylcarbamoyl]phenylthio) acetic acid as starting materials. The final deprotection step, us-ing trifluoroacetic acid, has been performed in analogy to example 1.
-ESI-MS spectrum: m/z: 442 [M-H]+
(4- [2- (Tert-butoxycarbonylmethylamino)ethylcarbamoyl]phenylthio}acetic acid was prepared in analogy to the procedure described in Bioorg. Med. Chem. Lett. 2003, 1517 using bromo acetic acid ethyl ester and commercially available (2 -methylamino-ethyl).carbamic acid tert-butyl ester.
Example 89 (1S,5R)-2-(2-[(3-carbamoylpyridyl-4)carbonylamino]acetyl}-7-oxo-2,6-diazabicyclo[3.2.0]heptane-6-sulfonic acid (402) The titled compound was prepared following scheme 11 in analogy to example 24 using (5S,1R)-4-(2-bromoacetyl)-4,7-diazabicyclo[3.2.0]heptan-6-one (compound F) which was first sulfonated (J. Org. Chem. 1982, 5160) and the commercially available 3,4-pyridine dicarboxamide as starting materials.
+ESI-MS spectrum: m/z: 398 [M+H]
Example 90 Sodium 2-([(4S)-2-(2-hydroxyphenyl)(4,5-dihydro-1,3-thiazolin-4-yl)]carbonyl) (1S,5R)-7-oxo-2,6-diazabicyclo[3.2.0]heptane-6-sulfonate (404) The titled compound was prepared following scheme 13 in analogy to example 14 using (5S,1R)-4,7-diazabicyclo[3.2.0]heptan-6-one (compound E) and the (4S) 4,5-dihydro-2-(2-hydroxyphenyl)-4-thiazolecarboxylic acid (JP59141554). The resulting compound was then sulfonated ac-cording to the procedure described in J. Org. Chem. 1982, 5160.
-ESI-MS spectrum: m/z: 397 [M+H] +.
Example 91 Sodium (1S,5R)-2-(2-[(5-fluoro-2-oxohydropyrimidin-4-yl)amino]acetyl}-7-oxo-2,6-diazabicyclo[3.2.0]heptane-6-sulfonate (405) The titled compound was prepared following scheme 11 in analogy to example 22 using (5S,1R)-4-(2-bromoacetyl)-4,7-diazabicyclo[3.2.0]heptan-6-one (compound F) and the commer-cially available 4-amino-5-fluoro pyridine-2-one.
-ESI-MS spectrum: m/z: 361 [M+H] +.
Example 92 (1S,5R)-2-(2-amino-2-(4-carbamoylphenyl)acetyl]-7-oxo-2,6-diazabicyclo[3.2.0]heptane-6-sulfonic acid (406) The titled compound was prepared following scheme 13 in analogy to example 14 using (5S,1R)-4,7-diazabicyclo[3.2.01heptan-6-one (compound E) and 2-amino-2-(4carbamoylphenyl) acetic acid, obtained according to the procedure described in Eur. J. Med. Chem. 2003, 289 from 4-{[(tert-butoxy)carbonylamino](methoxycarbonyl) methyl}benzoic acid (WO-A-2000/076970). The resulting compound was then sul-fonated according to the procedure described in J. Org. Chem.
1982, 5160.
+ESI-MS spectrum: m/z: 368 [M+H] +.
Example 93 (13,5R)-2-(2-[4-(imidazolylcarbonyl)-1-methylpiperazinium]acetyl)-7-oxo-2,6-diazabicyclo[3.2. 0]heptane-6-sulfonate, inner salt (407) The titled compound was prepared following scheme 13 in analogy to example 24 using (5S,1R)-4-(2-bromoacetyl)-4,7-diazabicyclo[3.2.0]heptan-6-one (compound F) and 1-(1H-imidazol-l-ylcarbonyl)-4-methyl-piperazine (Ind. J. Chem., Section B, 1987, 748).
+ESI-MS spectrum: m/z: 426 [M]"'.
Example 94 Sodium (1S,5R)-2-([(4-carbamoylphenyl)amino]carbonylamino}-7-oxo-2,6-diazabicyclo[3..2.0]heptane-6-sulfonate (408) The titled compound was prepared following the procedure described for example 18 of US-B-6,566,355 using (5S,1R)-4,7-diazabicyclo[3.2.0]heptan-6-one (compound E) and 4-[(3-phenyl-1,2-oxaziridin-2-yl)carbonylamino]benzamide. The re-sulting compound was then sulfonated according to the proce-dure described in J. Org. Chem. 1982, 5160.
-ESI-MS spectrum: m/z: 369 [M+H]

BIOLOGICAL EVALUATION

Antimicrobial activity of the compounds and of their combinations was determined against a selection of organisms according to the standard procedures described by the Na-tional Committee for Clinical Laboratory Standards (National Committee for Clinical Laboratory. Standards (2000). Methods for Dilution Antimicrobial Susceptibility Tests for Bacteria That Grow Aerobically-Fifth Edition: Approved Standard M7-A5.
NCCLS, Wayne, PA, USA).
The compounds to be tested were dissolved in 100% DMSO
or sterile broth according to their aqueous solubility and were diluted to the final reaction concentration (0.06 - 32 gg/mL) in microbial growth media (IsoSensiTest Broth + 16 pg/mL 2,2'-bipyridyl). In all cases the final concentration of DMSO incubated with the bacteria is less than or equal to 1%. For estimation of the minimal inhibitory concentrations (MIC), 2-fold dilutions of compounds were added to wells of a microtitre plate containing 106 bacteria/mL. Plates were in-cubated overnight at an appropriate temperature (30 C or 37 C) and optical densities assessed by eye. The MIC value is defined as the lowest compound concentration completely in-hibiting visible growth of the test organism. When combina-tions between compounds of formula I with compounds of for-mula II and III-XIII are evaluated the compounds of formula I
are tested in dilution series as described above while the compounds of formula II and III-XIII were present in all wells at a constant concentration of 4 }ig/mL each.

The MIC values (in mg/L) of representative compounds and of representative combinations including these compounds are listed in tables 3, 4 and 5. Table 3 lists the MIC values obtained for two representative antibiotics of formula I when combined either with a compound of formula II or with a com-pound of formula III-XIII in comparison to the activity ob-tained with a combination involving the antibiotic of formula I with a compound of formula II and a compound of formula III-XIII together. Table 4 lists the activity of representa-tive compounds of formula I alone or in combination with com-pounds of formula II and formula III-XIII. Table 5 lists the MIC values obtained for representative compounds of formula II with selected compounds of formula I and formula III-XIII.
If in table 4 in the upper three rows a cell is left empty, then this means that in the combination of that column no compound of the category of that row was used.
Table 3: Activity of representative monobactam antibiotics alone and in representative combinations according to the in-vention compound of for 1 reonam mule i compound of for 206 323 206 323 mule II

m m E
Suppiemen-tary b lactamase Inhibitor 501 501 a ca m Minimal Inhibitory Concentration (mg/L) of antibiotic at fixed Inhibitor concentration of 4 mg/L
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cloacae M4018 32 >32 16 8 2 >32 >32 32 1 4 MRW >32 32 32 16 4 >32 32 32 1 2 Zayakosky >32 >32 >32 >32 16 >32 >32 32 16 8 Enterobac-ter aerogenes 81 32 >32 >32 18 4 16 >32 2 8 8 eleuelnnep N N ,1) O
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Ln Table 5: Activity of compounds of general formula II in rep-resentative combinations MIC of antibiotic at fixed inhibitor concentration (4 mg/L) - a E C:
Supplementa o 0 `U W a, Bridged Mono- rY iv 2 ro ti S E
lactamase in- Antibiotic c Y c a, o= .a. m o cc ba -tam of Q- S. o o .- a hibitor of of formula I E (0 formula it .0 E CO E m n rn u m e m formula V or VI v o v o o a ) U U N o, ti c c c c c a ` c c_ =V m (D 2 N N m N CU Q
W C N (!1 Meropenem 2 2 1 0.125 <0.06 16 32 Cefeplme 32 32 4 2 4 0.125 4 ztreonam >32 >32 8 >32 >32 32 >32 1 >32 >32 16 >32 >32 1 0.5 101 clavulanate 1 >32 8 4 32 2 0.5 0.125 102 clavulanate 1 4 4 2 4 1 0.25 0.125 103 clavulanate 1 8 8 4 32 0.5 0.25 0.125 104 clavulanate 1 >32 32 4 32 0.5 2 0.125 105 clavulanate 1 8 16 8 32 0.5 0.125 0.125 106 clavulanate 1 >32 32 4 >32 0.25 0.25 0.125 107 clavulanate 1 8 8 4 32 1 0.125 0.125 108 clavulanate 1 >32 >32 1 0.25 0.125 109 clavulanate 1 4 16 4 32 0.5 0.125 0.125 110 clavulanate 1 2 32 4 >32 0.125 0.25 0.125 111 clavulanate 1 4 8 4 4 <0.06 0.25 0.125 112 clavulanate 1 16 >32 8 >32 <=0.06 0.5 0.125 113 clavulanate 1 >32 >32 4 32 0.125 0.25 0.25 114 clavulanate 1 >32 16 4 32 0.125 0.25 0.125 115 clavulanate 1 >32 16 4 32 0.125 0.25 0.125 116 clavulanate 1 16 8 16 32 0.5 0.25 0.125 117 clavulanate 1 >32 16 4 32 0.125 0.25 0.25 118 clavulanate 1 >32 32 4 32 0.125 0.25 0.125 119 clavulanate 1 >32 32 4 >32 0.125 0.25 0.125 120 clavulanate 1 32 16 8 32 0.25 0.25 0.125 121 clavulanate 1 >32 16 4 32 0.25 0.25 0.25 122 clavulanate 1 >32 16 4 16 0.125 0.25 0.125 123 clavulanate 1 >32 32 4 32 0.125 0.25 0.125 124 clavulanate 1 >32 32 8 32 0.125 0.25 0.125 125 clavulanate 1 4 16 8 32 <0.06 0.5 0.125 126 clavulanate 1 2 16 8 32 >32 0.125 0.125 201 clavulanate 1 4 32 8 32 >32 2 0.125 202 clavulanate 1 4 8 4 16 2 0.5 0.125 203 clavulanate 1 2 32 4 32 1 0.25 8 204 clavulanate 1 2 32 4 8 2 0.25 8 205 clavulanate 1 2 16 4 16 0.5 0.5 2 206 clavulanate 1 4 >32 4 8 0.25 4 0.125 301 clavulanate 1 8 >32 4 16 1 0.25 0.125 302 clavulanate 1 >32 >32 4 32 2 0.25 0.125 303 clavulanate 1 >32 >32 4 32 2 0.5 0.125 304 clavulanate 1 >32 >32 4 32 1 0.25 0.125 305 clavulanate 1 >32 >32 4 4 4 0.25 0.25 306 clavulanate 1 >32 >32 4 32 2 0.5 0.25 307 clavulanate 1 >32 >32 8 32 2 0.25 0.125 308 clavulanate 1 >32 >32 4 16 0.5 0.5 0.125 309 clavulanate 1 >32 >32 4 32 2 0.5 0.125 310 clavulanate 1 >32 16 4 4 2 0.5 0.125 311 clavulanate 1 4 >32 4 8 0.5 0.25 0.125 312 clavulanate 1 >32 >32 8 8 4 0.5 0.125 313 clavulanate 1 4 >32 4 16 0.5 0.25 0.125 314 clavulanate 1 4 >32 4 32 1 0.25 0.125 315 clavulanate 1 4 >32 4 8 1 0.25 0.125 316 clavulanate 1 16 32 4 8 0.5 0.25 0.125 317 clavulanate 1 16 >32 8 8 0.5 0.25 0.125 318 clavulanate 1 16 >32 4 >32 0.5 0.25 0.125 319 clavulanate 1 >32 >32 4 16 0.25 0.25 0.125 320 clavulanate 1 >32 >32 8 8 0.5 .25 0.125 321 clavulanate 1 16 >32 4 >32 1 0.25 0.125 322 clavulanate 1 16 >32 8 >32 0.125 1 0.125 323 clavulanate 1 16 16 8 4 2 0.25 0.125 324 clavulanate 1 32 8 8 4 1 1 0.125 325 clavulanate 1 4 16 4 4 >32 0.25 0.125 326 clavulanate 1 4 32 4 8 >32 0.125 0.125 327 clavulanate 1 2. >32 2 32 2 0.25 0.125 328 clavulanate 1 8 32 4 4 1 1 0.125 331 clavulanate 1 >32 >32 4 4 0.5 2 0.125 332 clavulanate 1 >32 16 4 16 1 2 ' 0.125 333 clavulanate 1 >32 32 4 32 1 0.25 0.125 401 clavulanate 1 -T 77T>32 18 16 0.5 0.125 0.125 402 clavulanate 1 8 32 4 32 <0.06 0.25 <0.06 403 clavulanate 1 8 >32 2 32 4 0.5 0.125 404 clavulanate 1 4 >32 4 16 0.5 0.25 0.25 406 clavulanate 1 >32 32 8 32 2 0.5 0.125 407 clavulanate 1 >32 >32 8 32 1 0.5 0.125 408 clavulanate 1 >32 >32 16 32 2 0.5 0.125 Further objects of the invention according to the following paragraphs 1-2 are also disclosed herein:

1. A pharmaceutical composition, comprising a combination of a) an antibiotically active compound of the following formula I:

R6-_N R5 R3 /j R2 O N ~

in which R1 signifies SO3H, OSO3H, CRaRa'COOH, OCRaRa'COOH, 5-tetra-zolyl, SO2NHRb or CONHRc, wherein Ra and Ra' are independently selected from hydro-gen; alkyl; allyl; benzyl which may be substituted with 1 to 5 substituents selected from alkyl, hydroxyl, alkoxy, amino, alkylamino, dialkylamino and halogen; phenyl which may be substituted with 1 to 5 substituents selected from alkyl, hydroxyl, alkoxy, amino, alkylamino, dialkylamino and halogen; alkylamino; dialkylamino; alkoxyalkyl and a 5-6 membered heteroaromatic ring which may be substituted with 1 to 4 substituents selected from alkyl, hydroxyl, alkoxy, amino, alkylamino, dialkylamino and halogen;
wherein Rb is hydrogen; alkyl; alkoxycarbonyl; alkylamino-carbonyl; benzylaminocarbonyl in which the benzyl may be substituted with 1 to 5 substituents selected from alkyl, hydroxyl, alkoxy, amino, alkylamino, dialkylamino and halogen; or phenylaminocarbonyl in which the phenyl may be substituted with 1 to 5 substituents selected from alkyl, hydroxyl, alkoxy, amino, alkylamino,dialkylamino and halo-gen;
wherein Rc is hydrogen; alkyl; phenyl which may be substi-tuted with 1 to 5 substituents selected from alkyl, hy-droxyl, alkoxy, amino, alkylamino, dialkylamino and halo-gen; benzyl which may be substituted with 1 to 5 substitu-ents selected from alkyl, hydroxyl, alkoxy, amino, al-kylamino, dialkylamino and halogen; alkoxycarbonyl;
S02phenyl; SO2NHalkyl; or a 5-6 membered heteroaromatic ring which may be substituted with 1 to 4 substituents se-lected from alkyl, hydroxyl, alkoxy, amino, alkylamino, dialkylamino and halogen;
R2 and R3 independently signify hydrogen; alkyl; alkenyl; al-kynyl; benzyl which may be substituted with 1 to 5 substitu-ents selected from alkyl, hydroxyl, alkoxy, amino, al-kylamino, dialkylamino and halogen; phenyl which may be sub-stituted with 1 to 5 substituents selected from alkyl, hy-droxyl, alkoxy, amino, alkylamino, dialkylamino and halogen;
azido; halogen; dihalogenomethyl; trihalogenomethyl; alkoxy-carbonyl; carboxyl; 'sulfonyl or CH2X1, wherein X1 is azido; amino; halogen; hydroxyl; cyano; car-boxyl; aminosulfonyl; alkoxycarbonyl; alkanoylamino;
phenylaminocarbonyl; alkylaminocarbonyl; aminocarbonyl;
carbamoyloxy; alkylaminosulfonyl; phenylaminosulfonyl in which the phenyl may be substituted with 1 to 5 substitu-ents selected from alkyl, hydroxyl, alkoxy, amino, al-kylamino, dialkylamino and halogen; phenyl which may be substituted with 1 to 5 substituents selected from alkyl, hydroxyl, alkoxy, amino, alkylamino, dialkylamino and halogen; or which may be substituted with 1 to 5 substitu-ents selected from alkyl, hydroxyl, alkoxy, amino, al-kylamino, dialkylamino and halogen;
R4 signifies hydrogen; alkyl; C(Rx)(Ry)Z, wherein Rx and Ry are independently selected from hydro-gen; alkyl; allyl; (C3-C6)cycloalkyl; phenyl which may be substituted with 1 to 5 substituents selected from alkyl, hydroxyl, alkoxy, amino, alkylamino, dialkylamino and halogen; (C2-C7) alkene and (C2-C7)alkyne; or Rx and Ry taken together may form an alkylene bridge - (CH2)õ- with n being an integer number from 2 to 6; and Z is COOH; CH2N(OH)COR' wherein R' is hydrogen, alkyl, alkylamino, alkoxy, benzyl which may be substituted with 1 to 5 substituents selected from alkyl, hydroxyl, alkoxy, amino, alkylamino, dial-kylamino and halogen, phenyl which may be substituted' with 1 to 5 substituents selected from from alkyl, hy-droxyl, alkoxy, amino, alkylamino, dialkylamino and halogen, or a 5-6 membered heteroaromatic ring which may be substituted with 1 to 4 substituents selected from alkyl, hydroxyl, alkoxy, amino, alkylamino, dialkylamino and halogen;
or Z is one of the following six groups A Re Re N Rf N Rf Rd Rd Ri S
N O;,N
OH N RI
ON~ ~1 N / OH OH

in which groups Rd, Re and Rf are independently selected from hydrogen;
alkyl; amino; monoalkylamino; carboxylaminoalkyl;
alkoxycarbonyl; benzyl which may be substituted with 1 to 5 substituents selected from alkyl, hydroxyl, alkoxy, amino, alkylamino, dialkylamino and halogen; diphenyl-methyl; trityl; and ORg wherein .
Rg is hydrogen; alkyl; benzyl which may be substi-tuted with 1 to 5 substituents selected from alkyl, hydroxyl, alkoxy, amino, alkylamino and halogen; or phenyl which may be substituted with 1 to 5 substitu-ents selected from alkyl, hydroxyl, alkoxy, amino, alkylamino and halogen;
or, when Re and Rf are vicinal substituents, Re and Rf taken together may also be -O-CH=CH-CHa-, -O-CHa-CH2-O-, -CHa-CH2-CHa-, -CH2-CH2-CH2-CH2-, -CH=CH-CH=CH- or -CH=C(OH)-C(OH)=CH-;
Ri is hydrogen; alkyl; alkylamino; alkoxy; benzyl which may be substituted with 1 to 5 substituents selected from alkyl, hydroxyl, alkoxy, amino, alkylamino, dial-kylamino and halogen; phenyl which may be substituted with 1 to 5 substituents selected from alkyl andhy-droxyl; or a 5-6 membered heteroaromatic ring which may be substituted with 1 to 5 substituents selected from alkyl, hydroxyl, alkoxyalkoxy, amino, alkylamino, dial-kylamino and halogen;
R5 signifies hydrogen, alkyl, halogenomethyl, dihaloge-nomethyl, trihalogenomethyl, alkoxy, formylamino or alkylcar-bonylamino;
R6 signifies phenyl which may be substituted with 1 to 5 sub-stituents selected from alkyl, hydroxyl, alkoxyalkoxy, amino, alkylamino, dialkylamino and halogen; or a 5-6 membered het-eroaromatic ring which may be substituted with 1 to 4 sub-stituents selected from alkyl, hydroxyl, alkoxy, amino, al-kylamino, carbonylamino and halogen; or a pharmaceutically acceptable salt thereof;

with a (3-lactamase inhibitor of one of the following groups bl) to bli) :

bl) a bridged monobactam derivative of the following formula II:

N II

in which:
R7 signifies S03H, OSO3H or OCRjRj'COOH, wherein Rj and Rj' are independently selected from hydro-gen; alkyl; phenyl which may be substituted with 1 to 5 substituents selected from alkyl, hydroxyl, alkoxyalkoxy, amino, alkylamino, dialkylamino and halogen; benzyl which may be substituted with 1 to 5 substituents selected from alkyl, hydroxyl, alkoxyalkoxy, amino, alkylamino, dial-kylamino and halogen; alkylamino and alkoxyalkyl;
R8 is alkoxycarbonylamino, the acyl residue of an a or 13-amino acid, or a residue of the formula Q-(X)r-X-, wherein Q is a 3-6 membered ring which optionally contains nitrogen, sulphur and/or oxygen and which is optionally fused to a phenyl ring or to a 5-6 membered heterocyclic ring and which is optionally substituted with 1 to 4 sub-stituents selected from alkyl, allyl, hydroxyl, alkoxyalkoxy, amino, alkylamino, dialkylamino, carboxamide which may be substituted, carboxylic acid, carbonylalkoxy, aminocarbonyl, alkylaminocarbonyl, halogen, haloge-nomethyl, dihalogenomethyl, trihalogenomethyl, sulfamide, substituted sulfamide with substituents selected from al-kyl, allyl, phenyl which may be substituted with 1 to 5 substituents selected from alkyl, hydroxyl, alkoxyalkoxy, amino, alkylamino and halogen and benzyl which may be sub-stituted with 1 to 5 substituents selected from alkyl, hy-droxyl, alkoxyalkoxy, amino, alkylamino, halogen and ben-zyl, urea which may be substituted with alkyl, aminoalkyl, alkoxyalkyl or aminoalkoxyalkyl, and carbamate which may be substituted with alkyl, aminoalkyl,alkoxyalkyl or ami-noalkoxyalkyl, X signifies a linear spacer of from 1 to 6 atoms length and containing carbon, nitrogen, oxygen and/or sulphur at-oms, of which up to 2 atoms can be nitrogen atoms and 1 atom can be oxygen or sulphur, r is an integer of from 0 to 1; and Y is selected from -CO-, -CS-, -NHCO-, -NHCONH- and -SO2-;
or a pharmaceutically acceptable salt thereof, or b2) a monobactam derivative of the general formula III:
R' O, ~N

O ~N III

in which R4' signifies hydrogen, alkyl or CH(Rx')Z', wherein Rx' is selected from hydrogen; (C1.-C6) alkyl; allyl; phenyl and (C3-C6) cycloalkyl; and Z' signifies COON or a group of one of the following two formulae:
O O
OH H:1N 1~

IV Rd' Rd' in which Rd' is hydrogen or hydroxy; and R6 is as defined for formula I; or a pharmaceutically ac-ceptable salt thereof;

or b3) a penam sulfone derivative of the general formulae IV or V.

Q,.O R10 N

HO O V HO O
IV

in which R9 signifies COOH or a 5-6 membered monocyclic or poly-cyclic heteroaromatic group;
R10 signifies hydrogen or halogen;
Rll signifies CH2R12; CH=CHR12 wherein R12 is hydrogen, halogen, cyano, carboxylic acid, acyl such as acetyl, car-boxamide which may be substituted, alkoxycarbonyl or a 5-6 membered heteroaromatic ring which is optionally substi-tuted with 1 to 5 substituents selected from alkyl, hy-droxyl, alkoxy, amino, alkylamino, dialkylamino and halo-gen; or which is optionally fused with a 5-6 membered het-eroaromatic ring; CH=NR12' wherein R12' is amino, al-kylamino, dialkylamino, aminocarbonyl, acylamino such as acetylamino, hydroxy, alkoxy, or a pharmaceutically acceptable salt thereof;
or b4) an oxapenam derivative of the general formula VI:

in which R13 signifies OR14; S(0)AR14 or a 5-6 membered heteroaro-matic ring which may be substituted with 1 to 5 substitu-ents selected from alkyl, hydroxyl, alkoxy, amino, al-kylamino, dialkylamino and halogen; whereby n = 0, 1 or 2, and R14 is hydrogen, alkyl, (Ca-C7) alkene, (C2-C7) alkyne or a 5-6 membered heteroaromatic ring which may be substi-tuted with 1 to 5 substituents selected from alkyl, hy-droxyl, alkoxy, amino, alkylamino, dialkylamino and halo-gen, or a pharmaceutically acceptable salt thereof;
or b5) a penem derivative of the general formula VII:

\ g N VII
O

in which R15 signifies a 5-6 membered heteroaromatic ring which may be substituted with 1 to 5 substituents selected from al-kyl, hydroxyl, alkoxy, amino, alkylamino, dialkylamino and halogen; or which is optionally fused with a 5-6 membered heteroaromatic ring and/or which is optionally bound to the exo-methylene group over a -CH=CH- spacer being pref-erably in the (E)-configuration, or a pharmaceutically acceptable salt thereof;
or b6) a cephem sulfone derivative of the general formula VIII:

S

in which R16 signifies COOR17, whereby R17 signifies hydrogen or alkyl; or a 5-6 membered heteroaromatic ring which is op-tionally fused with a 5-6 membered heteroaromatic ring be-ing optionally substituted with 1 to 5 substituents se-lected from alkyl, hydroxyl, alkoxy, amino, alkylamino, dialkylamino, halogen; and/or being optionally bound to the exo-methylene group over a -CH=CH- spacer being pref-erably in the (E)-configuration, or a pharmaceutically acceptable salt thereof;
or b7) a carbapenem derivative of the general formula IX:
O H H

O
HO O IX

in which R18 signifies -S-alkyl, -S-(CH2)2-NH-CH=NH or a group of the following two formulae O NRkRI NRkRI
NH NH
-S -S

wherein Rk and R1 are individually selected from hydrogen, alkyl, 2-, 3-, 4-carboxyphenyl and sulfamoyl, or a pharma-ceutically acceptable salt thereof;

or b8) a boronate derivative of the general formula X:
OH

HO' Nz~ Si wherein R19 signifies a 5-6 membered heteroaromatic ring which may be substituted with amino, alkylamino, dialkylamino or alkylsulfoxide, or a pharmaceutically acceptable salt thereof;
or b9) a boronate derivative of the general formula XI:
R20,N. R21 ~g\ XI
HO OH
wherein R20 and 21 are independently selected from a 5-6 membered heteroaromatic ring; phenyl which may be substituted with 1 to 5 substituents selected from alkyl, hydroxyl, alkoxy, amino, alkylamino, dialkylamino and halogen and benzyl which may be substituted with 1 to 5 substituents selected from alkyl, hydroxyl, alkoxy, amino, alkylamino, dial-kylamino and halogen, or a pharmaceutically acceptable salt thereof;
or b10) a phosphonate derivative of the general formula XII:
S"P~O NO

XII
wherein R22 is selected from a 5-6 membered heteroaromatic ring which may be substituted with 1 to 5 substituents selected from alkyl, hydroxyl, alkoxy, amino, alkylamino, dial-kylamino and halogen and which is optionally fused with a 5-6 membered heteroaromatic ring; phenyl which may be sub-stituted with 1 to 5 substituents selected from alkyl, hy-droxyl, alkoxy, amino, alkylamino, dialkylamino and halo-gen; and benzyl which may be substituted with 1 to 5 sub-stituents selected from alkyl, hydroxyl, alkoxy, amino, alkylamino, dialkylamino and halogen, or a pharmaceutically acceptable salt thereof;
or bl1) a diazabicyclooctane derivative of the general formula XIII:

O~ N R23 R24~ N
XIII
in which R23 signifies hydrogen, carboxylic acid, alkoxycarbonyl or carboxamide which may be substituted, and R24 signifies S03H, OSO3H or OCRjRj'COOH, wherein Rj and Rj' are as defined for formula II, or a pharmaceutically acceptable salt thereof.

2. Any embodiment as disclosed in the following claims 2 to 45, with their dependency or reference to claim 1 being re-placed by a reference to preceding paragraph 1.

Claims (45)

claims
1. A pharmaceutical composition, comprising a combination of a) an antibiotically active compound of the following formula I:

in which R1 signifies SO3H, OSO3H, CRaRa'COOH, OCRaRa'COOH, tetrazol-5-yl, SO2NHRb or CONHRc, wherein Ra and Ra' are independently selected from hydrogen; alkyl; allyl; benzyl which may be substituted with 1 to 5 substituents selected from alkyl, hydroxyl, alkylhydroxyl, amino, alkylamino, dialkylamino and halogen;
phenyl which may be substituted with 1 to 5 substituents selected from alkyl, hydroxyl, alkylhydroxyl, amino, alkylamino, dialkylamino and halogen; alkylamino; dialkylamino;
alkoxyalkyl and a 5-6 membered heteroaromatic ring which may be substituted with 1 to 4 substituents selected from alkyl, hydroxyl, alkylhydroxyl, amino, alkylamino, dialkylamino and halogen;
wherein Rb is hydrogen; alkoxycarbonyl; alkylaminocarbonyl;
benzylaminocarbonyl in which the benzyl may be substituted with 1 to 5 substituents selected from alkyl, hydroxyl, alkylhydroxyl, amino, alkylamino, dialkylamino and halogen; or phenylaminocarbonyl in which the phenyl may be substituted with 1 to 5 substituents selected from alkyl, hydroxyl, alkylhydroxyl, amino, alkylamino, dialkylamino and halogen;
wherein Rc is hydrogen; alkyl; phenyl which may be substi-tuted with 1 to 5 substituents selected from alkyl, hy-droxyl, alkylhydroxyl, amino, alkylamino, dialkylamino and halogen; benzyl which may be substituted with 1 to 5 sub-stituents selected from alkyl, hydroxyl, alkylhydroxyl, amino, alkylamino, dialkylamino and halogen; alkoxycar-bonyl; SO2phenyl; SO2NHalkyl; or a 5-6 membered heteroaro-matic ring which may be substituted with 1 to 4 substitu-ents selected from alkyl, hydroxyl, alkylhydroxyl, amino, alkylamino, dialkylamino and halogen;
R2 and R3 independently signify hydrogen; alkyl; alkenyl; al-kynyl; benzyl which may be substituted with 1 to 5 substitu-ents selected from alkyl, hydroxyl, alkylhydroxyl, amino, al-kylamino, dialkylamino and halogen; phenyl which may be sub-stituted with 1 to 5 substituents selected from alkyl, hy-droxyl, alkylhydroxyl, amino, alkylamino, dialkylamino and halogen; azido; halogen; dihalogenomethyl; trihalogenomethyl;
alkoxycarbonyl; carboxyl; sulfonyl or CH2X1, wherein X1 is azido; amino; hydroxyl; cyano; carboxyl;
aminosulfonyl; alkoxycarbonyl; alkanoylamino; phenylamino-carbonyl; alkyl amino carbonyl; alkylaminosulfonyl; phenyl-aminosulfoxy in which the phenyl may be substituted with 1 to 5 substituents selected from alkyl, hydroxyl, alkylhy-droxyl, amino, alkylamino, dialkylamino and halogen; or phenyl which may be substituted with 1 to 5 substituents selected from alkyl, hydroxyl, alkylhydroxyl, amino, al-kylamino, dialkylamino and halogen;
R4 signifies hydrogen; alkyl; C(Rx)(Ry)Z, wherein Rx and Ry are independently selected from hydro-gen; alkyl; allyl; (C3-C6)cycloalkyl; phenyl which may be substituted with 1 to 5 substituents selected from alkyl, hydroxyl, alkylhydroxyl, amino, alkylamino, dialkylamino and halogen; (C2-C7) alkene and (C2-C7) alkyne ; or Rx and Ry taken together may form an alkylene bridge -(CH2)n- with n being an integer number from 2 to 6; and Z is COOH; CH2N (OH)COR' wherein R' is hydrogen, alkyl, alkylamino, alkylhydroxy, benzyl which may be substituted with 1 to 5 substituents selected from alkyl, hydroxyl, alkylhydroxyl, amino, alkylamino, dialkylamino and halo-gen, phenyl which may be substituted with 1 to 5 substitu-ents selected from from alkyl, hydroxyl, alkylhydroxyl, amino, alkylamino, dialkylamino and halogen, or a 5-6 mem-bered heteroaromatic ring which may be substituted with 1 to 4 substituents selected from alkyl, hydroxyl, alkylhy-droxyl, amino, alkylamino, dialkylamino and halogen; or Z
is one of the following six groups in which groups Rd is hydrogen; amino; monoalkylamino; carboxylamino al-kyl; alkoxycarbonyl; benzyl which may be substituted with 1 to 5 substituents selected from alkyl, hydroxyl, alkylhydroxyl, amino, alkylamino, dialkylamino and halo-gen; diphenylmethyl; trityl; or ORg whereby Rg is hydro-gen, alkyl, benzyl which may be substituted with 1 to 5 substituents selected from alkyl, hydroxyl, alkylhy-droxyl, amino, alkylamino and halogen; phenyl which may be substituted with 1 to 5 substituents selected from alkyl, hydroxyl, alkylhydroxyl, amino, alkylamino and halogen;
Re and Rf are independently selected from hydrogen; al-kyl; benzyl which may be substituted with 1 to 5 sub-stituents selected from alkyl, hydroxyl, alkylhydroxyl, amino, alkylamino and halogen; phenyl which may be sub-stituted with 1 to 5 substituents selected from alkyl, hydroxyl, alkylhydroxyl, amino, alkylamino and halogen;
ORg whereby Rg is hydrogen, alkyl, benzyl which may be substituted with 1 to 5 substituents selected from al-kyl, hydroxyl, alkylhydroxyl, amino, alkylamino and halogen; phenyl which may be substituted with 1 to 5 substituents selected from alkyl, hydroxyl, alkylhy-droxyl, amino, alkylamino and halogen; diphenylmethyl;
trityl or alkoxycarbonyl; or, when Re and Rf are vicinal substituents, Re and Rf taken together may also be -O-CH=CH-CH2-, -O-CH2-CH2-O-, -CH2-CH2-CH2-, -CH2-CH2-CH2-CH2-, -CH=CH-CH=CH- or -CH=C(OH)-C(OH)=CH-;
Ri is hydrogen; alkyl; alkylamino; alkylhydroxy; benzyl which may be substituted with 1 to 5 substituents se-lected from alkyl, hydroxyl, alkylhydroxyl, amino, al-kylamino, dialkylamino and halogen; phenyl which may be substituted with 1 to 5 substituents selected from al-kyl, hydroxyl, a 5-6 membered heteroaromatic ring which may be substituted with 1 to 5 substituents selected from alkyl, hydroxyl, alkylhydroxyl, amino, alkylamino, dialkylamino and halogen;

R5 signifies hydrogen, alkyl, halogenomethyl, dihaloge-nomethyl, trihalogenomethyl, alkoxy, formylamino or alkylcar-bonylamino;
R6 signifies phenyl which may be substituted with 1 to 5 sub-stituents selected from alkyl, hydroxyl, alkylhydroxyl, amino, alkylamino, dialkylamino and halogen; or a 5-6 mem-bered heteroaromatic ring which may be substituted with 1 to 4 substituents selected from alkyl, hydroxyl, alkylhydroxy, amino, alkylamino, carbonylamino and halogen;
or a pharmaceutically acceptable salt thereof;

with a .beta.-lactamase inhibitor of one of the following groups b1) to b11):

b1) a bridged monobactam derivative of the following formula II:

in which:
R7 signifies SO3H, OSO3H or OCRjRj'COOH, wherein Rj and Rj' are independently selected from hydro-gen; alkyl; phenyl which may be substituted with 1 to 5 substituents selected from alkyl, hydroxyl, alkylhydroxyl, amino, alkylamino, dialkylamino and halogen; benzyl which may be substituted with 1 to 5 substituents selected from alkyl, hydroxyl, alkylhydroxyl, amino, alkylamino, dial-kylamino and halogen; alkylamino and alkoxyalkyl;

R8 is alkoxycarbonylamino, the acyl residue of an .alpha. or .beta.-amino acid, or a residue of the formula Q-(X)r-Y-, wherein Q is a 3-6 membered ring which optionally contains nitrogen, sulphur and/or oxygen and which is optionally fused to a phenyl ring or to a 5-6 membered heterocyclic ring and which is optionally substituted with 1 to 4 sub-stituents selected from alkyl, allyl, hydroxyl, alkylhy-droxyl, amino, alkylamino, dialkylamino, carboxamide which may be substituted, carboxylic acid, carbonylalkoxy, ami-nocarbonyl, alkylaminocarbonyl, halogen, halogenomethyl, dihalogenomethyl, trihalogenomethyl, sulfamide, substi-tuted sulfamide with substituents selected from alkyl, al-lyl, phenyl which may be substituted with 1 to 5 substitu-ents selected from alkyl, hydroxyl, alkylhydroxyl, amino, alkylamino and halogen and benzyl which may be substituted with 1 to 5 substituents selected from alkyl, hydroxyl, alkylhydroxyl, amino, alkylamino, halogen and benzyl, urea which may be substituted with alkyl, aminoalkyl or alkyl-hydroxyl and carbamate which may be substituted with al-kyl, aminoalkyl or alkylhydroxyl, x signifies a linear spacer of from 1 to 6 atoms length and containing carbon, nitrogen, oxygen and/or sulphur at-oms, of which up to 2 atoms can be nitrogen atoms and 1 atom can be oxygen or sulphur, r is an integer of from 0 to 1; and Y is selected from -CO-, -CS-, -NHCO- and -SO2-;
or a pharmaceutically acceptable salt thereof, or b2) a monobactam derivative of the general formula III:

in which R4' signifies hydrogen, alkyl, C(Rx')(Ry')Z', wherein Rx' and Ry' are independently selected from hydro-gen, alkyl and (C3-C6) cycloalkyl; and Z' signifies COOH or a group of one of the following two formulae in which Rd is hydrogen; amino; monoalkylamino; alkyl; alkoxycar-bony; benzyl which may be substituted with 1 to 5 sub-stituents selected from alkyl, hydroxyl, alkylhydroxyl, amino, alkylamino, dialkylamino and halogen; diphenyl-methyl; trityl; or ORg whereby Rg is hydrogen, alkyl, benzyl which may be substituted with 1 to 5 substituents selected from alkyl, hydroxyl, alkylhydroxyl, amino, al-kylamino and halogen; phenyl which may be substituted with 1 to 5 substituents selected from alkyl, hydroxyl, alkylhydroxyl, amino, alkylamino and halogen;
Re and Rf are independently selected from hydrogen; al-kyl; benzyl which may be substituted with 1 to 5 sub-stituents selected from alkyl, hydroxyl, alkylhydroxyl, amino, alkylamino and halogen; phenyl which may be sub-stituted with 1 to 5 substituents selected from alkyl, hydroxyl, alkylhydroxyl, amino, alkylamino and halogen;
ORg whereby Rg is hydrogen, alkyl, benzyl which may be substituted with 1 to 5 substituents selected from al-kyl, hydroxyl, alkylhydroxyl, amino, alkylamino and halogen; phenyl which may be substituted with 1 to 5 substituents selected from alkyl, hydroxyl, alkylhy-droxyl, amino, alkylamino and halogen; diphenylmethyl;
trityl or alkoxycarbonyl; or, when Re and Rf are vicinal substituents, Re and Rf taken together may also be -O-CH=CH-CH2-, -O-CH2-CH2-O-, -CH2-CH2-CH2-, -CH2-CH2-CH2-CH2-, -CH=CH-CH=CH- or -CH=C(OH)-C(OH)=CH-;
R6' signifies phenyl which may be substituted with 1 to 5 substituents selected from alkyl, hydroxyl, alkylhydroxyl, amino, alkylamino, dialkylamino and halogen; or a 5-6 mem-bered heteroaromatic ring which may be substituted with amino, alkyl amino, carbonylamino or halogen;

or b3) a penam sulfone derivative of the general formulae IV or V:

in which R9 signifies COOH or a 5-6 membered monocyclic or poly-cyclic heteroaromatic group;
R10 signifies hydrogen or halogen;
R11 signifies CH2R12; CH=CHR12 wherein R12 is hydrogen, halogen, cyano, carboxylic acid, carboxamide which may be substituted, alkoxycarbonyl or a 5-6 membered heteroaro-matic ring which is optionally substituted with 1 to 5 substituents selected from alkyl, hydroxyl, alkylhydroxyl, amino, alkylamino, dialkylamino and halogen; or which is optionally fused with a 5-6 membered heteroaromatic ring;
CH=NR12' wherein R12' is amino, alkylamino, dialkylamino, aminocarbonyl, hydroxy, alkylhydroxy, or a pharmaceutically acceptable salt thereof;
or b4) an oxapenam derivative of the general formula VI:
in which R13 signifies OR14; S(O)n R14 or a 5-6 membered heteroaro-matic ring which may be substituted with 1 to 5 substitu-ents selected from alkyl, hydroxyl, alkylhydroxyl, amino, alkylamino, dialkylamino and halogen; whereby n = 0, 1 or 2, and R14 is hydrogen, alkyl, (C2-C7)alkene, (C2-C7)alkyne or a 5-6 membered heteroaromatic ring which may be substi-tuted with 1 to 5 substituents selected from alkyl, hy-droxyl, alkylhydroxyl, amino, alkylamino, dialkylamino and halogen, or a pharmaceutically acceptable salt thereof;

or b5) a penem derivative of the general formula VII:
in which R15 signifies a 5-6 membered heteroaromatic ring which may be substituted with 1 to 5 substituents selected from al-kyl, hydroxyl, alkylhydroxyl, amino, alkylamino, dial-kylamino and halogen; or which is optionally fused with a 5-6 membered heteroaromatic ring and/or which is option-ally bound to the exo-methylene group over a -CH=CH-spacer being preferably in the (E)-configuration, or a pharmaceutically acceptable salt thereof;
or b6) a cephem sulfone derivative of the general formula VIII:
in which R16 signifies COOR17, whereby R17 signifies hydrogen or alkyl; or a 5-6 membered heteroaromatic ring which is op-tionally fused with a 5-6 membered heteroaromatic ring be-ing optionally substituted with 1 to 5 substituents se-lected from alkyl, hydroxyl, alkylhydroxyl, amino, al-kylamino, dialkylamino, halogen; and/or being optionally bound to the exo-methylene group over a -CH=CH- spacer be-ing preferably in the (E)-configuration, or a pharmaceutically acceptable salt thereof;
or b7) a carbapenem derivative of the general formula IX:
in which R18 signifies -S-alkyl, -S-(CH2)2-NH-CH=NH or a group of one of the following two formulae wherein Rk and Rl are individually selected from hydrogen, alkyl, 2-, 3-, 4-carboxyphenyl and sulfamoyl, or a pharma-ceutically acceptable salt thereof;

or b8) a boronate derivative of the general formula X:

wherein R19 signifies a 5-6 membered heteroaromatic ring which may be substituted with amino, alkylamino, dialkylamino or alkylsulfoxide, or a pharmaceutically acceptable salt thereof;

or b9) a boronate derivative of the general formula XI:
wherein R20 and 21 are independently selected from a 5-6 membered heteroaromatic ring; phenyl which may be substituted with 1 to 5 substituents selected from alkyl, hydroxyl, alkyl-hydroxyl, amino, alkylamino, dialkylamino and halogen and benzyl which may be substituted with 1 to 5 substituents selected from alkyl, hydroxyl, alkylhydroxyl, amino, al-kylamino, dialkylamino and halogen, or a pharmaceutically acceptable salt thereof;
or b10) a phosphonate derivative of the general formula XII:
wherein R22 is selected from a 5-6 membered heteroaromatic ring which may be substituted with 1 to 5 substituents selected from alkyl, hydroxyl, alkylhydroxyl, amino, alkylamino, dialkylamino and halogen and which is optionally fused with a 5-6 membered heteroaromatic ring; phenyl which may be substituted with 1 to 5 substituents selected from al-kyl, hydroxyl, alkylhydroxyl, amino, alkylamino, dial-kylamino and halogen; and benzyl which may be substituted with 1 to 5 substituents selected from alkyl, hydroxyl, alkylhydroxyl, amino, alkylamino, dialkylamino and halo-gen;

or b11) a diazabicyclooctane derivative of the general formula XIII:

in which R23 signifies hydrogen, carboxylic acid, alkoxycarbonyl or carboxamide which may be substituted, and R24 signifies SO3H, OSO3H or OCRjRj'COOH, wherein Rj and Rj' are independently selected from hydrogen, alkyl, phenyl which may be substituted, benzyl which may be sub-stituted, aminoalkyl and alkoxy.
2. The composition of claim 1, furthermore comprising a com-pound of one of the formulae II to XIII as defined in claim 1, but different from the compound of b1) to b11) of claim 1.
3. The composition of claim 1, wherein in formula I:
R1 is SO3H, OSO3H or CRaRa'COOH;
R4 is C(Rx)(Ry)Z, with either:
- Rx = Ry = H and Z a group of one of the formulae wherein Rd, Re and Rf are as defined for formula I; or - Rx = Ry = methyl and Z = COOH;
or R4 is 4-hydroxypyridino[3,2-b]pyridin-3-yl)methoxy; and R6 is 2-amino-1,3-thiazol-4-yl, 2-amino-5-chloro-1,3-thiazol-4-yl, 5-amino-1,2,4-thiadiazol-3-yl, 5-amino-1H-1,2,4-tria-zol-3-yl, 5-aminopyrazol-3-yl or 4-aminopyrimidin-2-yl;
and wherein the compound of the one of the formulae II
to XIII is a compound of formula II having R7 and R8 accord-ing to one of the rows of the following table:

or a compound of formula V (501) wherein R10 is hydrogen and R11 is (1Z)-2-cyanovinyl.
4. The composition of claim 1, wherein in formula I:
R1 is SO3H or OSO3H;
R2 and R5 are hydrogen;
R3 is methyl;
R4 is C(Rx)(Ry)Z, with either:
- Rx = Ry = H and Z a group of one of the formulae wherein Rd, Re and Rf are individually selected from hy-drogen and hydroxy, with the proviso that at least two of Rd, Re and Rf are hydroxy, preferably that Rd and Re are hydroxy and Rf is hydrogen; or - Rx = Ry = methyl and Z= COOH; and R6 is 2-amino-1,3-thiazol-4-yl, 5-aminopyrazol-3-yl or 4-aminopyrimidin-2-yl;

and wherein the compound of the one of the formulae II
to XIII is a compound of formula II having R7 and R8 accord-ing to one of the rows of the following table:

5. The composition of claim 1 or 4, furthermore comprising sulbactam or clavulanic acid.
6. The composition of claim 1, comprising one of the follow-ing combinations A) to W):

A) as the compound of formula I, aztreonam and a compound of formula II (102), wherein R7 is SO3- and R8 is and either a compound of formula V, which is sulbactam; or a com-pound of formula VI, which is clavulanic acid or a pharmaceu-tically acceptable salt thereof, or B) as the compound of formula I, the compound (1) wherein R1 is SO3H, R2 is hydrogen, R3 is CH3, R4 is (1,5-dihydroxy-4-oxo-1H-pyridin-2-yl)methylene, R5 is hydrogen and R6 is 2-amino-1,3-thiazol-4-yl and a compound of formula II (102), wherein R7 is SO3- and R8 is and either a compound of formula V, which is sulbactam; or a com-pound of formula VI, which is clavulanic acid or a pharmaceu-tically acceptable salt thereof, or C) as the compound of formula I, the compound (1) wherein R1 is SO3H, R2 is hydrogen, R3 is CH3, R4 is (1,5-dihydroxy-4-oxo-1H-pyridin-2-yl)methylene, R5 is hydrogen and R6 is 2-amino-1,3-thiazol-4-yl, and a compound of formula V (501) wherein R10 is hydrogen and R11 is (1Z)-2-cyanovinyl, or D) as the compound of formula I, the compound (1) wherein R1 is SO3H, R2 is hydrogen, R3 is CH3, R4 is (1,5-dihydroxy-4-oxo-1H-pyridin-2-yl)methylene, R5 is hydrogen and R6 is 2-amino-1,3-thiazol-4-yl, and a compound of formula II (103), wherein R7 is SO3- and R8 is a compound of formula VI, which is clavulanic acid or a phar-maceutically acceptable salt thereof or E) as the compound of formula I, the compound (1) wherein R1 is SO3H, R2 is hydrogen, R3 is CH3, R4 is (1,5-dihydroxy-4-oxo-1H-pyridin-2-yl)methylene, R5 is hydrogen and R6 is 2-amino-1,3-thiazol-4-yl, and a compound of formula II (111), wherein R7 is SO3- and R8 is and a compound of formula VI, which is clavulanic acid or a phar-maceutically acceptable salt thereof or F) as the compound of formula I, the compound (1) wherein R1 is SO3H, R2 is hydrogen, R3 is CH3, R4 is (1,5-dihydroxy-4-oxo-1H-pyridin-2-yl)methylene, R5 is hydrogen and R6 is 2-amino-1,3-thiazol-4-yl, and a compound of formula II (202), wherein R7 is SO3Na and R8 is and a compound of formula VI, which is clavulanic acid or a phar-mac eutically acceptable salt thereof or G) as the compound of formula I, the compound (1) wherein R1 is SO3H, R2 is hydrogen, R3 is CH3, R4 is (1,5-dihydroxy-4-oxo-1H-pyridin-2-yl)methylene, R5 is hydrogen and R6 is 2-amino-1,3-thiazol-4-yl, and a compound of formula II (206), wherein R7 is SO3Na and R8 is and a compound of formula VI, which is clavulanic acid or a phar-maceutically acceptable salt thereof or H) as the compound of formula I, the compound (1) wherein R1 is SO3H, R2 is hydrogen, R3 is CH3, R4 is (1,5-dihydroxy-4-oxo-1H-pyridin-2-yl)methylene, R5 is hydrogen and R6 is 2-amino-1,3-thiazol-4-yl, and a compound of formula II (323), wherein R7 is SO3H and R8 is and a compound of formula V, which is sulbactam, or a compound of formula VI, which is clavulanic acid or a pharmaceutically acceptable salt thereof or I) as the compound of formula I, the compound (1) wherein R1 is SO3H, R2 is hydrogen, R3 is CH3, R4 is (1,5-dihydroxy-4-oxo-1H-pyridin-2-yl)methylene, R5 is hydrogen and R6 is 2-amino-1,3-thiazol-4-yl, and a compound of formula II (324), wherein R7 is SO3H and R8 is and a compound of formula VI, which is clavulanic acid or a phar-maceutically acceptable salt thereof or J) as the compound of formula I, the compound (12) wherein R1 is OSO3H, R2 is hydrogen, R3 is CH3, R4 is (1,5-dihydroxy-4-oxo-1H-pyridin-2-yl)methylene, R5 is hydrogen and R6 is 2-amino-1,3-thiazol-4-yl and a compound of formula formula II (102), wherein R7 is SO3-and R8 is and a compound of formula V, which is sulbactam or a compound of formula VI, which is clavulanic acid or a pharmaceutically acceptable salt thereof or K) as the compound of formula I, the compound (12) wherein R1 is OSO3H, R2 is hydrogen, R3 is CH3, R4 is (1,5-dihydroxy-4-oxo-1H-pyridin-2-yl)methylene, R5 is hydrogen and R6 is 2-amino-1,3-thiazol-4-yl and a compound of formula II (103), wherein R7 is SO3- and R8 is and a compound of formula V, which is sulbactam or L) as the compound of formula I, the compound (12) wherein R1 is OSO3H, R2 is hydrogen, R3 is CH3, R4 is (1,5-dihydroxy-4-oxo-1H-pyridin-2-yl)methylene, R5 is hydrogen and R6 is 2-amino-1,3-thiazol-4-yl and a compound of formula II (323), wherein R7 is SO3H and R8 is and a compound of formula V, which is sulbactam or M) as the compound of formula I, the compound (12) wherein R1 is OSO3H, R2 is hydrogen, R3 is CH3, R4 is (1,5-dihydroxy-4-oxo-1H-pyridin-2-yl)methylene, R5 is hydrogen and R6 is 2-amino-1,3-thiazol-4-yl and a compound of formula II (324), wherein R7 is SO3H and R8 is a compound of formula V, which is sulbactam or N) as the compound of formula I, the compound (21) wherein R1 is SO3H, R2 is hydrogen, R3 is CH3, R4 is (1,5-dihydroxy-4-oxo-1H-pyridin-2-yl)methylene, R5 is hydrogen and R6 is 4-amino-pyrimidin-2-yl and a compound of formula formula II (102), wherein R7 is SO3-and R8 is and a compound of formula V, which is sulbactam, or a compound of formula VI, which is clavulanic acid or a pharmaceutically acceptable salt thereof or O) as the compound of formula I, the compound (21) wherein R1 is SO3H, R2 is hydrogen, R3 is CH3, R4 is (1,5-dihydroxy-4-oxo-1H-pyridin-2-yl)methylene, R5 is hydrogen and R6 is 4-amino-pyrimidin-2-yl and a compound of formula II (323), wherein R7 is SO3H and R8 is and a compound of formula V, which is sulbactam, or a compound of formula VI, which is clavulanic acid or a pharmaceutically acceptable salt thereof or P) as the compound of formula I, the compound (21) wherein R1 is SO3H, R2 is hydrogen, R3 is CH3, R4 is (1,5-dihydroxy-4-oxo-1H-pyridin-2-yl)methylene, R5 is hydrogen and R6 is 4-amino-pyrimidin-2-yl and a compound of formula II (324), wherein R7 is SO3H and R8 is a compound of formula V, which is sulbactam or Q) as the compound of formula I, the compound (29) wherein R1 is OSO3H, R2 is hydrogen, R3 is CH3, R4 is (1,5-dihydroxy-4-oxo-1H-pyridin-2-yl)methylene, R5 is hydrogen and R6 is 2-amino-5-chloro-1,3-thiazol-4-yl, and a compound of formula formula II (102), wherein R7 is SO3-and R8 is a compound of formula V, which is sulbactam, or a compound of formula VI, which is clavulanic acid or a pharmaceutically acceptable salt thereof, or R) as the compound of formula I, the compound (29) wherein R1 is OSO3H, R2 is hydrogen, R3 is CH3, R4 is (1,5-dihydroxy-4-oxo-1H-pyridin-2-yl)methylene, R5 is hydrogen and R6 is 2-amino-5-chloro-1,3-thiazol-4-yl, and a compound of formula II (323), wherein R7 is SO3H and R8 is a compound of formula V, which is sulbactam or S) as the compound of formula I, the compound (29) wherein R1 is OSO3H, R2 is hydrogen, R3 is CH3, R4 is (1,5-dihydroxy-4-oxo-1H-pyridin-2-yl)methylene, R5 is hydrogen and R6 is 2-amino-5-chloro-1,3-thiazol-4-yl, and a compound of formula II (324), wherein R7 is SO3H and R8 is a compound of formula V, which is sulbactam or T) as the compound of formula I, the compound (22) wherein R1 is OCH2COOH, R2 is hydrogen, R3 is CH3, R4 is (1,5-dihydroxy-4-oxo-1H-pyridin-2-yl)methylene, R5 is hydrogen and R6 is 2-amino-1,3-thiazol-4-yl and a compound of formula formula II (102), wherein R7 is SO3-and R8 is a compound of formula VI, which is clavulanic acid or a phar-maceutically acceptable salt thereof or U) as the compound of formula I, the compound (22) wherein R1 is OCH2COOH, R2 is hydrogen, R3 is CH3, R4 is (1,5-dihydroxy-4-oxo-1H-pyridin-2-yl)methylene, R5 is hydrogen and R6 is 2-amino-1,3-thiazol-4-yl and a compound of formula II (324), wherein R7 is SO3H and R8 is a compound of formula V, which is sulbactam, or a compound of formula VI, which is clavulanic acid or a pharmaceutically acceptable salt thereof or V) as the compound of formula I, the compound (26) wherein R1 is OSO3H, R2 is CH3, R3 is CH3, R4 is (1,5-dihydroxy-4-oxo-1H-pyridin-2-yl)methylene, R5 is hydrogen and R6 is 2-amino-1,3-thiazol-4-yl and a compound of formula formula II (102), wherein R7 is SO3-and R8 is a compound of formula V, which is sulbactam, or a compound of formula VI, which is clavulanic acid or a pharmaceutically acceptable salt thereof or W) as the compound of formula I, the compound (26) wherein R1 is OSO3H, R2 is CH3, R3 is CH3, R4 is (1,5-dihydroxy-4-oxo-1H-pyridin-2-yl)methylene, R5 is hydrogen and R6 is 2-amino-1,3-thiazol-4-yl and a compound of formula II (324), wherein R7 is SO3H and R8 is a compound of formula V, which is sulbactam, or a compound of formula VI, which is clavulanic acid or a pharmaceutically acceptable salt thereof.
7. Articles containing a compound of formula I as defined in claim 1, as an agent for treating infections caused by patho-genic Gram-negative bacteria, and a compound of one of the formulae II to XIII as defined in claim 1, as a combination for the simultaneous, separate or successive administration in the treatment of infections caused by pathogenic Gram-negative bacteria.
8. The articles of claim 7, furthermore containing another compound of one of the formulae II to XIII as defined in claim 1.
9. The articles of claim 7, wherein for the compound of for-mula I:
R1 is SO3H or OSO3H;
R2 and R5 are hydrogen;
R3 is methyl;
R4 is C(R x)(R y)Z, with either:
- R x = R y = H and Z a group of one of the formulae wherein R d, R e and R f are individually selected from hy-drogen and hydroxy, with the proviso that at least two of R d, R e and R f are hydroxy, preferably that R d and R e are hydroxy and R f is hydrogen; or - R x = R y = methyl and Z = COOH; and R6 is 2-amino-1,3-thiazol-4-yl, 5-aminopyrazol-3-yl or 4-aminopyrimidin-2-yl;
and wherein the compound of the one of the formulae II
to XIII is selected from the compounds of formula II wherein R7 and R8 are according to one of the rows of the following table:

10. The articles of claim 7, wherein for the compound of for-mula I:

R1 is SO3H, OSO3H or OCHR a R a'COOH;
R2 is hydrogen or methyl;
R3 is methyl;
R4 is C(R x)(R y)Z, with either:
-R x = R y = H and Z a group of one of the formulae wherein R d, R e and R f are as defined for formula I; or - R x = R y = methyl and Z = COOH;
or R4 is 4-hydroxypyridino[3,2-b]pyridin-3-yl)methoxy;
R5 is hydrogen; and R6 is 2-amino-1,3-thiazol-4-yl, 2-amino-5-chloro-1,3-thiazol-4-yl, 5-amino-1,2,4-thiadiazol-3-yl, 5-amino-1H-1,2,4-tria-zol-3-yl, 5-aminopyrazol-3-yl or 4-aminopyrimidin-2-yl;
and wherein the compound of the one of the formulae II
to XIII is selected from the compounds of formula II wherein R7 and R8 are according to one of the rows of the following table:

and a compound of formula V (501) wherein R10 is hydrogen and R11 is (1Z)-2-cyanovinyl.
11. The articles of claim 7 or 9, furthermore comprising sulbactam or clavulanic acid.
12. The articles of claim 7 or 10, comprising as the compound of formula I, the compound (1) wherein R1 is SO3H, R2 is hy-drogen, R3 is CH3, R4 is (1,5-dihydroxy-4-oxo-1H-pyridin-2-yl)methylene, R5 is hydrogen and R6 is 2-amino-1,3-thiazol-4-yl, and a compound of formula V (501) wherein R10 is hydrogen and R11 is (1Z)-2-cyanovinyl.
1 3. The articles of one of claims 7, 10 or 12, furthermore containing another compound of one of the formulae II to XIII
as defined in claim 1.
14. The articles of claim 13, wherein the further compound is a compound of the formula V or a compound of the formula VI.
15. The articles of claim 14, comprising one of the following combinations A) to V):

A) as the compound of formula I, aztreonam and a compound of formula formula II (102), wherein R7 is SO3-and R8 is either a compound of formula V, which is sulbactam; or a com-pound of formula VI, which is clavulanic acid or a pharmaceu-tically acceptable salt thereof, or B) as the compound of formula I, the compound (1) wherein R1 is SO3H, R2 is hydrogen, R3 is CH3, R4 is (1,5-dihydroxy-4-oxo-1H-pyridin-2-yl)methylene, R5 is hydrogen and R6 is 2-amino-1,3-thiazol-4-yl and a compound of formula II (102), wherein R7 is SO3- and R8 is and either a compound of formula V, which is sulbactam; or a com-pound of formula VI, which is clavulanic acid or a pharmaceu-tically acceptable salt thereof, or C) as the compound of formula I, the compound (1) wherein R1 is SO3H, R2 is hydrogen, R3 is CH3, R4 is (1,5-dihydroxy-4-oxo-1H-pyridin-2-yl)methylene, R5 is hydrogen and R6 is 2-amino-1,3-thiazol-4-yl and a compound of formula II (103), wherein R7 is SO3- and R8 is a compound of formula VI, which is clavulanic acid or a phar-maceutically acceptable salt thereof or D) as the compound of formula I, the compound (1) wherein R1 is SO3H, R2 is hydrogen, R3 is CH3, R4 is (1,5-dihydroxy-4-oxo-1H-pyridin-2-yl)methylene, R5 is hydrogen and R6 is 2-amino-1,3-thiazol-4-yl and a compound of formula II (111), wherein R7 is SO3- and R8 is and a compound of formula VI, which is clavulanic acid or a phar-maceutically acceptable salt thereof or E) as the compound of formula I, the compound (1) wherein R1 is SO3H, R2 is hydrogen, R3 is CH3, R4 is (1,5-dihydroxy-4-oxo-1H-pyridin-2-yl)methylene, R5 is hydrogen and R6 is 2-amino-1,3-thiazol-4-yl and a compound of formula II (202), wherein R7 is SO3Na and R8 is and a compound of formula VI, which is clavulanic acid or a phar-maceutically acceptable salt thereof or F) as the compound of formula I, the compound (1) wherein R1 is SO3H, R2 is hydrogen, R3 is CH3, R4 is (1,5-dihydroxy-4-oxo-1H-pyridin-2-yl)methylene, R5 is hydrogen and R6 is 2-amino-1,3-thiazol-4-yl and a compound of formula II (206), wherein R7 is SO3Na and R8 is and a compound of formula VI, which is clavulanic acid or a phar-maceutically acceptable salt thereof or G) as the compound of formula I, the compound (1) wherein R1 is SO3H, R2 is hydrogen, R3 is CH3, R4 is (1,5-dihydroxy-4-oxo-1H-pyridin-2-yl)methylene, R5 is hydrogen and R6 is 2-amino-1,3-thiazol-4-yl and a compound of formula II (323), wherein R7 is S03H and R8 is and a compound of formula V, which is sulbactam, or a compound of formula VI, which is clavulanic acid or a pharmaceutically acceptable salt thereof or H) as the compound of formula I, the compound (1) wherein R1 is SO3H, R2 is hydrogen, R3 is CH3, R4 is (1,5-dihydroxy-4-oxo-1H-pyridin-2-yl)methylene, R5 is hydrogen and R6 is 2-amino-1,3-thiazol-4-yl and a compound of formula II (324), wherein R7 is SO3H and R8 is and a compound of formula VI, which is clavulanic acid or a phar-maceutically acceptable salt thereof or I) as the compound of formula I, the compound (12) wherein R1 is OSO3H, R2 is hydrogen, R3 is CH3, R4 is (1,5-dihydroxy-4-oxo-1H-pyridin-2-yl)methylene, R5 is hydrogen and R6 is 2-amino-1,3-thiazol-4-yl and a compound of formula formula II (102), wherein R7 is SO3-and R8 is and a compound of formula V, which is sulbactam or a compound of formula VI, which is clavulanic acid or a pharmaceutically acceptable salt thereof or J) as the compound of formula I, the compound (12) wherein R1 is OSO3H, R2 is hydrogen, R3 is CH3, R4 is (1,5-dihydroxy-4-oxo-1H-pyridin-2-yl)methylene, R5 is hydrogen and R6 is 2-amino-1,3-thiazol-4-yl and a compound of formula II (103), wherein R7 is SO3- and R8 is and a compound of formula V, which is sulbactam or K) as the compound of formula I, the compound (12) wherein R1 is OSO3H, R2 is hydrogen, R3 is CH3, R4 is (1,5-dihydroxy-4-oxo-1H-pyridin-2-yl)methylene, R5 is hydrogen and R6 is 2-amino-1,3-thiazol-4-yl and a compound of formula II (323), wherein R7 is SO3H and R8 is and a compound of formula V, which is sulbactam or L) as the compound of formula I, the compound (12) wherein R1 is OSO3H, R2 is hydrogen, R3 is CH3, R4 is (1,5-dihydroxy-4-oxo-1H-pyridin-2-yl)methylene, R5 is hydrogen and R6 is 2-amino-1,3-thiazol-4-yl and a compound of formula II (324), wherein R7 is SO3H and R8 is and a compound of formula V, which is sulbactam or M) as the compound of formula I, the compound (21) wherein R1 is SO3H, R2 is hydrogen, R3 is CH3, R4 is (1,5-dihydroxy-4-oxo-1H-pyridin-2-yl)methylene, R5 is hydrogen and R6 is 4-amino-pyrimidin-2-yl and a compound of formula formula II (102), wherein R7 is SO3-and R8 is and a compound of formula V, which is sulbactam, or a compound of formula VI, which is clavulanic acid or a pharmaceutically acceptable salt thereof or N) as the compound of formula I, the compound (21) wherein R1 is SO3H, R2 is hydrogen, R3 is CH3, R4 is (1,5-dihydroxy-4-oxo-1H-pyridin-2-yl)methylene, R5 is hydrogen and R6 is 4-amino-pyrimidin-2-yl and a compound of formula II (323), wherein R7 is SO3H and R8 is and a compound of formula V, which is sulbactam, or a compound of formula VI, which is clavulanic acid or a pharmaceutically acceptable salt thereof or O) as the compound of formula I, the compound (21) wherein R1 is SO3H, R2 is hydrogen, R3 is CH3, R4 is (1,5-dihydroxy-4-oxo-1H-pyridin-2-yl)methylene, R5 is hydrogen and R6 is 4-amino-pyrimidin-2-yl and a compound of formula II (324), wherein R7 is SO3H and R8 is a compound of formula V, which is sulbactam or P) as the compound of formula I, the compound (22) wherein R1 is OCH2COOH, R2 is hydrogen, R3 is CH3, R4 is (1,5-dihydroxy-4-oxo-1H-pyridin-2-yl)methylene, R5 is hydrogen and R6 is 2-amino-1,3-thiazol-4-yl and a compound of formula formula II (102), wherein R7 is SO3-and R8 is and a compound of formula VI, which is clavulanic acid or a phar-maceutically acceptable salt thereof or Q) as the compound of formula I, the compound (22) wherein R1 is OCH2COOH, R2 is hydrogen, R3 is CH3, R4 is (1,5-dihydroxy-4-oxo-1H-pyridin-2-yl)methylene, R5 is hydrogen and R6 is 2-amino-1,3-thiazol-4-yl and a compound of formula II (324), wherein R7 is SO3H and R8 is and a compound of formula V, which is sulbactam, or a compound of formula VI, which is clavulanic acid or a pharmaceutically acceptable salt thereof or R) as the compound of formula I, the compound (26) wherein R1 is OSO3H, R2 is CH3, R3 is CH3, R4 is (1,5-dihydroxy-4-oxo-1H-pyridin-2-yl)methylene, R5 is hydrogen and R6 is 2-amino-1,3-thiazol-4-yl and a compound of formula formula II (102), wherein R7 is SO3-and R8 is and a compound of formula V, which is sulbactam, or a compound of formula VI, which is clavulanic acid or a pharmaceutically acceptable salt thereof or S) as the compound of formula I, the compound (26) wherein R1 is OSO3H, R2 is CH3, R3 is CH3, R4 is (1,5-dihydroxy-4-oxo-1H-pyridin-2-yl)methylene, R5 is hydrogen and R6 is 2-amino-1,3-thiazol-4-yl and a compound of formula II (324), wherein R7 is SO3H and R8 is and a compound of formula V, which is sulbactam, or a compound of formula VI, which is clavulanic acid or a pharmaceutically acceptable salt thereof or T) as the compound of formula I, the compound (29) wherein R1 is OSO3H, R2 is hydrogen, R3 is CH3, R4 is (1,5-dihydroxy-4-oxo-1H-pyridin-2-yl)methylene, R5 is hydrogen and R6 is 2-amino-5-chloro-1,3-thiazol-4-yl and a compound of formula formula II (102), wherein R7 is SO3-and R8 is and a compound of formula V, which is sulbactam, or a compound of formula VI, which is clavulanic acid or a pharmaceutically acceptable salt thereof or U) as the compound of formula I, the compound (29) wherein R1 is 0SO3H, R2 is hydrogen, R3 is CH3, R4 is (1,5-dihydroxy-4-oxo-1H-pyridin-2-yl)methylene, R5 is hydrogen and R6 is 2-amino-5-chloro-1,3-thiazol-4-yl and a compound of formula II (323), wherein R7 is S03H and R8 is and a compound of formula V, which is sulbactam or V) as the compound of formula I, the compound (29) wherein R1 is OSO3H, R2 is hydrogen, R3 is CH3, R4 is (1,5-dihydroxy-4-oxo-1H-pyridin-2-yl)methylene, R5 is hydrogen and R6 is 2-amino-5-chloro-1,3-thiazol-4-yl and a compound of formula II (324), wherein R7 is SO3H and R8 is a compound of formula v, which is sulbactam.
16. Compounds of formula I as defined in claim 1, wherein R6 is 4-aminopyrimidin-2-yl, or a pharmaceutically acceptable salt thereof.
17. Compounds of the formula I as defined in claim 1, wherein R5 is hydrogen, R2 points upward from the plane of the azetidinone ring and R3 points below the plane of the azetidinone ring, and R1, R2, R3, R4 and R6 are according to one of the rows of the following table:

or a pharmaceutically acceptable salt thereof;
and compounds of the following formula Ia:
Ia in which Rz is S03H or CRaRa'COOH, wherein Ra and Ral are independently selected from hydrogen; al-kyl; allyl; benzyl which may be substituted with 1 to 5 substituents selected from alkyl, hydroxyl, alkoxy, amino, alkylamino, dialkylamino and halogen; phenyl which may be substituted with 1 to 5 substituents selected from alkyl, hydroxyl, alkoxy, amino, alkylamino, dialkylamino and halogen; alkylamino; dialkylamino; alkoxyalkyl and a 5-6 membered heteroaromatic ring which may be substituted with 1 to 4 substituents selected from alkyl, hydroxyl, alkoxy, amino, alkylamino, dialkylamino and halogen;
R2 and R3 independently signify hydrogen; alkyl; alkenyl; al-kynyl; benzyl which may be substituted with 1 to 5 substitu-ents selected from alkyl, hydroxyl, alkoxy, amino, al-kylamino, dialkylamino and halogen; phenyl which may be sub-stituted with 1 to 5 substituents selected from alkyl, hy-droxyl, alkoxy, amino, alkylamino, dialkylamino and halogen;
azido; halogen; dihalogenomethyl; trihalogenomethyl; alkoxy-carbonyl; carboxyl; sulfonyl or CH2X1, wherein X1 is azido; amino; halogen; hydroxyl; cyano; car-boxyl; aminosulfonyl; alkoxycarbonyl; alkanoylamino;
phenylaminocarbonyl; alkylaminocarbonyl; aminocarbonyl;
carbamoyloxy; alkylaminosulfonyl; phenylaminosulfonyl in which the phenyl may be substituted with 1 to 5 substitu-ents selected from alkyl, hydroxyl, alkoxy, amino, al-kylamino, dialkylamino and halogen; phenyl which may be substituted with 1 to 5 substituents selected from alkyl, hydroxyl, alkoxy, amino, alkylamino, dialkylamino and halogen; or benzyl which may be substituted with 1 to 5 substituents selected from alkyl, hydroxyl, alkoxy, amino, alkylamino, dialkylamino and halogen;

R4 is CH2Z, with z a group of one of the formulae wherein Rd, Re and Rf are independently selected from hydrogen; alkyl; amino; monoalkylamino; carboxylami-noalkyl; alkoxycarbonyl; benzyl which may be substituted with 1 to 5 substituents selected from alkyl, hydroxyl, alkoxy, amino, alkylamino, dialkylamino and halogen; di-phenylmethyl; trityl; and ORg wherein Rg is hydrogen; alkyl; benzyl which may be substi-tuted with 1 to 5 substituents selected from alkyl, hydroxyl, alkoxy, amino, alkylamino and halogen; or phenyl which may be substituted with 1 to 5 substitu-ents selected from alkyl, hydroxyl, alkoxy, amino, alkylamino and halogen;;
or, when Re and Rf are vicinal substituents, Re and Rf taken together may also be -O-CH=CH-CH2-, -O-CH2-CH2-O-, -CH2-CH2-CH2-, -CH2-CH2-CH2-CH2-, -CH=CH-CH=CH- or -CH=C(OH)-C(OH)=CH-;
R5 signifies hydrogen, alkyl, halogenomethyl, dihaloge-nomethyl, trihalogenomethyl, alkoxy, formylamino or alkylcar-bonylamino;
R6 signifies phenyl which may be substituted with 1 to 5 sub-stituents selected from alkyl, hydroxyl, alkoxy, amino, al-kylamino, dialkylamino and halogen; or a 5-6 membered het-eroaromatic ring which may be substituted with 1 to 4 sub-stituents selected from alkyl, hydroxyl, alkoxy, amino, al-kylamino, carbonylamino and halogen;
or a pharmaceutically acceptable salt or inner salt thereof.
18. The compounds of claim 17, which are a compound of for-mula Ia as defined in claim 17, and wherein R6 is an option-ally amino-substituted and optionally chloro-substituted 5-6-membered heteroaromatic ring, being preferably selected from 2-amino-1,3-thiazol-4-yl, 5-amino-1,2,4-thiadiazol-3-yl, 5-amino-1,2,4-oxadiazol-3-yl, 3-aminoisoxazol-5-yl, 5-amino-1-methylpyrazol-3-yl, 5-aminopyrazol-3-yl, 6-amino-2-pyridyl, 4-aminopyrimidin-2-yl, 2-carbonylamino-1,3-thiazol-4-yl, 2-amino-5-chloro-1,3-thiazol-4-yl and 2-thienyl.
19. The compounds of claim 17 or 18, wherein R5 is hydrogen.
20. The compounds of one of claims 17 to 19, wherein Rz is SO3H.
21. The compounds of claim 20, wherein R2 and R3 are methyl.
22. The compounds of claim 20, wherein R5 is hydrogen, and R2, R3, R4 and R6 are according to one of the rows of the following table:

or a pharmaceutically acceptable salt or inner salt thereof.
23. The compounds of claim 21, wherein R5 is hydrogen, and R4 and R6 are according to the following table:

24. The compounds of claim 21, wherein R5 is hydrogen, and R4 and R6 are according to the following table:

25. The compounds of one of claims 17 to 19, wherein Rz is CRaRa'COOH.
26. The compounds of claim 25, wherein Ra and Ra' are se-lected from hydrogen and methyl.
27. The compounds of claim 26, wherein Rz is
28. The compounds of one of claims 21 or 23 to 27, wherein R2 is selected from hydrogen, methyl, fluoromethyl and carbamoy-loxymethyl; and R3 is selected from hydrogen and methyl.
29. The compounds of claim 28, wherein the configuration at the carbon atom to which R2 and R3 are connected is (S).
30. The compounds of claim 25, wherein R5 is hydrogen, and Rz, R2, R3, R4 and R6 are according to one of the rows of the following table:

31. A pharmaceutical composition comprising a compound of one of claims 17 to 30.
32. The composition of claim 1, wherein the compound of for-mula I is a compound of formula Ia as defined in claim 17.
33. The composition of claim 32, comprising two or more com-pounds different from each other and being selected from the formulae II to XIII as defined in claim 1.
34. The composition of claim 33, wherein one of the two or more compounds selected from the formulae II to XIII is a compound of formula V or a compound of formula VI.
35. The compositions of claim 6, wherein the combination is one of I), J), K), L), P), Q), R), S), T), U) or T).
36. Compounds of the formula II as defined in claim 1, wherein R7 and R8 are according to one of the rows of the following table:

37. The use of a combination of an antibiotically active com-pound of the formula I as defined in claim 1, and a .beta.-lactamase inhibitor according to one of the formulae II to XIII, as defined in claim 1, for the preparation of a pharma-ceutical composition against Gram-negative bacteria.
38. The use of claim 37, wherein furthermore another compound of one of the formulae II to XIII as defined in claim 1 is used.
39. The use of claim 37, wherein in formula I:
R1 is SO3H or OSO3H;
R2 and R5 are hydrogen;
R3 is methyl;
R4 is C(Rx)(Ry)Z, with either:
- Rx = Ry = H and Z a group of one of the formulae wherein Rd, Re and Rf are individually selected from hy-drogen and hydroxy, with the proviso that at least two of Rd, Re and Rf are hydroxy, preferably that Rd and Re are hydroxy and Rf is hydrogen; or - Rx = Ry = methyl and Z= COOH; and R6 is 2-amino-1,3-thiazol-4-yl, 5-aminopyrazol-3-yl or 4-aminopyrimidin-2-yl;
and wherein the compound of the one of the formulae II
to XIII is selected from the compounds of formula II wherein R7 and R8 are according to one of the rows of the following table:

and a compound of formula V (501) wherein R10 is hydrogen and R11 is (1Z)-2-cyanovinyl.
40. The use of claim 37 or 39, wherein furthermore sulbactam or clavulanic acid is used.
41. The use of claim 37, wherein as the compound of formula I, the compound (1) wherein R1 is S03H, R2 is hydrogen, R3 is CH3, R4 is (1,5-dihydroxy-4-oxo-1H-pyridin-2-yl)methylene , R5 is hydrogen and R6 is 2-amino-1,3-thiazol-4-yl, and a compound of formula V (501) wherein R10 is hydrogen and R11 is (1Z)-2-cyanovinyl, is used.
42. The use of claim 38, wherein the further compound is a compound of formula V or a compound of formula VI.
43. The use of claim 38, wherein one of the following combi-nations A) to V) is used:

A) as the compound of formula I, aztreonam and a compound of formula II (102), wherein R7 is SO3- and R8 is and either a compound of formula V, which is sulbactam; or a com-pound of formula VI, which is clavulanic acid or a pharmaceu-tically acceptable salt thereof, or B) as the compound of formula I, the compound (1) wherein R1 is SO3H, R2 is hydrogen, R3 is CH3, R4 is (1,5-dihydroxy-4-oxo-1H-pyridin-2-yl)methylene, R5 is hydrogen and R6 is 2-amino-1,3-thiazol-4-yl and a compound of formula II (102), wherein R7 is SO3- and R8 is either a compound of formula V, which is sulbactam; or a com-pound of formula VI, which is clavulanic acid or a pharmaceu-tically acceptable salt thereof, or C) as the compound of formula I, the compound (1) wherein R1 is SO2H, R2 is hydrogen, R3 is CH3, R4 is (1,5-dihydroxy-4-oxo-1H-pyridin-2-yl)methylene, R5 is hydrogen and R6 is 2-amino-1,3-thiazol-4-yl and a compound of formula II (103), wherein R7 is SO3- and R8 is and a compound of formula VI, -which is clavulanic acid or a phar-maceutically acceptable salt thereof or D) as the compound of formula I, the compound (1) wherein R1 is SO3H, R2 is hydrogen, R3 is CH3, R4 is (1,5-dihydroxy-4-oxo-1H pyridin-2-yl)methylene, R5 is hydrogen and R6 is 2-amino-1,3-thiazol-4-yl and a compound of formula II (111), wherein R7 is SO3- and R8 is and a compound of formula VI, which is clavulanic acid or a phar-maceutically acceptable salt thereof or E) as the compound of formula I, the compound (1) wherein R1 is SO3H, R2 is hydrogen, R3 is CH3, R4 is (1,5-dihydroxy-4-oxo-1H-pyridin-2-yl)methylene, R5 is hydrogen and R6 is 2-amino-1,3-thiazol-4-yl and a compound of formula II (202), wherein R7 is SO3Na and R8 is and a compound of formula VI, which is clavulanic acid or a phar-maceutically acceptable salt thereof or F) as the compound of formula I, the compound (1) wherein R1 is SO3H, R2 is hydrogen, R3 is CH3, R4 is (1,5-dihydroxy-4-oxo-1H-pyridin-2-yl)methylene, R5 is hydrogen and R6 is 2-amino-1,3-thiazol-4-yl and a compound of formula II (206), wherein R7 is SO3Na and R8 is and a compound of formula VI, which is clavulanic acid or a phar-maceutically acceptable salt thereof or G) as the compound of formula I, the compound (1) wherein R1 is SO3H, R2 is hydrogen, R3 is CH3, R4 is (1,5-dihydroxy-4-oxo-1H-pyridin-2-yl)methylene, R5 is hydrogen and R6 is 2-amino-1,3-thiazol-4-yl and a compound of formula II (323), wherein R7 is SO3H and R8 is and a compound of formula V, which is sulbactam, or a compound of formula VI, which is clavulanic acid or a pharmaceutically acceptable salt thereof or H) as the compound of formula I, the compound (1) wherein R1 is SO3H, R2 is hydrogen, R3 is CH3, R4 is (1,5-dihydroxy-4-oxo-1H-pyridin-2-yl)methylene, R5 is hydrogen and R6 is 2-amino-1,3-thiazol-4-yl and a compound of formula II (324), wherein R7 is SO3H and R8 is and a compound of formula VI, which is clavulanic acid or a phar-maceutically acceptable salt thereof or I) as the compound of formula I, the compound (12) wherein R1 is OSO3H, R2 is hydrogen, R3 is CH3, R4 is (1,5-dihydroxy-4-oxo-1H-pyridin-2-yl)methylene, R5 is hydrogen and R6 is 2-amino-1,3-thiazol-4-yl and a compound of formula II (102), wherein R7 is SO3- and R8 is and a compound of formula V, which is sulbactam or a compound of formula VI, which is clavulanic acid or a pharmaceutically acceptable salt thereof or J) as the compound of formula I, the compound (12) wherein R1 is OSO3H, R2 is hydrogen, R3 is CH3, R4 is (1,5-dihydroxy-4-oxo-1H-pyridin-2-yl)methylene, R5 is hydrogen and R6 is 2-amino-1,3-thiazol-4-yl and a compound of formula II (103), wherein R7 is SO3- and R8 is and a compound of formula V, which is sulbactam or K) as the compound of formula I, the compound (12) wherein R1 is OSO3H, R2 is hydrogen, R3 is CH3, R4 is (1,5-dihydroxy-4-oxo-1H-pyridin-2-yl)methylene, R5 is hydrogen and R6 is 2-amino-1,3-thiazol-4-yl and a compound of formula II (323), wherein R7 is SO3H and R8 is and a compound of formula V, which is sulbactam or L) as the compound of formula I, the compound (12) wherein R1 is OSO3H, R2 is hydrogen, R3 is CH3, R4 is (1,5-dihydroxy-4-oxo-1H-pyridin-2-yl)methylene, R5 is hydrogen and R6 is 2-amino-1,3-thiazol-4-yl and a compound of formula II (324), wherein R7 is SO3H and R8 is and a compound of formula V, which is sulbactam or M) as the compound of formula I, the compound (21) wherein R1 is SO3H, R2 is hydrogen, R3 is CH3, R4 is (1,5-dihydroxy-4-oxo-1H-pyridin-2-yl)methylene, R5 is hydrogen and R6 is 4-amino-pyrimidin-2-yl and a compound of formula II (102), wherein R7 is SO3- and R8 is and a compound of formula V, which is sulbactam, or a compound of formula VI, which is clavulanic acid or a pharmaceutically acceptable salt thereof or N) as the compound of formula I, the compound (21) wherein R1 is SO3H, R2 is hydrogen, R3 is CH3, R4 is (1,5-dihydroxy-4-oxo-1H-pyridin-2-yl)methylene, R5 is hydrogen and R6 is 4-amino-pyrimidin-2-yl and a compound of formula II (323), wherein R7 is SO3H and R8 is a compound of formula V, which is sulbactam, or a compound of formula VI, which is clavulanic acid or a pharmaceutically acceptable salt thereof or o) as the compound of formula I, the compound (21) wherein R1 is SO3H, R2 is hydrogen, R3 is CH3, R4 is (1,5-dihydroxy-4-oxo-1H-pyridin-2-yl)methylene, R5 is hydrogen and R6 is 4-amino-pyrimidin-2-yl and a compound of formula II (324), wherein R7 is SO3H and R8 is and a compound of formula V, which is sulbactam or P) as the compound of formula I, the compound (29) wherein R1 is OSO3H, R2 is hydrogen, R3 is CH3, R4 is (1,5-dihydroxy-4-oxo-1H-pyridin-2-yl)methylene, R5 is hydrogen and R6 is 2-amino-5-chloro-1,3-thiazol-4-yl, and a compound of formula II (102), wherein R7 is SO3- and R8 is and a compound of formula V, which is sulbactam, or a compound of formula VI, which is clavulanic acid or a pharmaceutically acceptable salt thereof or Q) as the compound of formula I, the compound (22) wherein R1 is OCH2COOH, R2 is hydrogen, R3 is CH3, R4 is (1,5-dihydroxy-4-oxo-1H-pyridin-2-yl)methylene, R5 is hydrogen and R6 is 2-amino-1,3-thiazol-4-yl and a compound of formula II (102), wherein R7 is SO3- and R8 is and a compound of formula VI, which is clavulanic acid or a phar-maceutically acceptable salt thereof or R) as the compound of formula I, the compound (22) wherein R1 is OCH2COOH, R2 is hydrogen, R3 is CH3, R4 is (1,5-dihydroxy-4-oxo-1H-pyridin-2-yl)methylene, R5 is hydrogen and R6 is 2-.
amino-1,3-thiazol-4-yl and a compound of formula II (324), wherein R7 is SO3H and R8 is and a compound of formula V, which is sulbactam, or a compound of formula VI, which is clavulanic acid or a pharmaceutically acceptable salt thereof or S) as the compound of formula I, the compound (26) wherein R1 is OSO3H, R2 is CH3, R3 is CH3, R4 is (1,5-dihydroxy-4-oxo-1H-pyridin-2-yl)methylene, R5 is hydrogen and R6 is 2-amino-l,3-thiazol-4-yl and a compound of formula II (102), wherein R7 is SO 3- and R8 is a compound of formula V, which is sulbactam, or a compound of formula VI, which is clavulanic acid or a pharmaceutically acceptable salt thereof or T) as the compound of formula I, the compound (26) wherein R1 is OSO3H, R2 is CH3, R3 is CH3, R4 is (1,5-dihydroxy-4-oxo-1H-pyridin-2-yl)methylene, R5 is hydrogen and R6 is 2-amino-1,3-thiazol-4-yl and a compound of formula II (324), wherein R7 is SO3H and R8 is and a compound of formula V, which is sulbactam, or a compound of formula VI, which is clavulanic acid or a pharmaceutically acceptable salt thereof or U) as the compound of formula I, the compound (29) wherein R1 is OSO3H, R2 is hydrogen, R3 is CH3, R4 is (1,5-dihydroxy-4-oxo-1H-pyridin-2-yl)methylene, R5 is hydrogen and R6 is 2-amino-5-chloro-l,3-thiazol-4-yl and a compound of formula II (323), wherein R7 is SO3H and R8 is and a compound of formula V, which is sulbactam or V) as the compound of formula I, the compound (29) wherein R1 is OSO3H, R2 is hydrogen, R3 is CH3, R4 is (1,5-dihydroxy-4-oxo-1H-pyridin-2-yl)methylene, R5 is hydrogen and R6 is 2-amino-5-chloro-1,3-thiazol-4-yl and a compound of formula II (324), wherein R7 is SO3H and R8 is and a compound of formula V, which is sulbactam.
44. The use of one of claims 37 to 43, wherein the Gram-nega-tive bacteria are especially those that are resistant against monobactam antibiotics available for clinical use, such as aztreonam, carumonam and tigemonam.
45. The use of one of claims 37 to 44, wherein the Gram-nega-tive bacteria are selected from: Achromobacter species (in-cluding A. xylosooxidans); Acinetobacter species (including A. baumannii, A. junii, A. lwoffi); Burkholderia species (in-cluding B. cepacia); Enterobacteriaceae including but not ex-clusively Enterobacter species (such as E. aerogenes, E. clo-acae), Escherichia species (such as E. coli), Klebsiella spe-cies (such as K. oxytoca, K. pneumoniae), Proteus species (such as P. mirabilis, P. penneri, P. vulgaris), Serratia species (such as S. marcescens); Pseudomonas species (includ-ing P. aeruginosa and P. putida); Stenotrophomonas malto-philia.
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